Intralesional Cryotherapy for the Treatment of Keloid ScarsIntralesional Cryotherapy for the Treatment of Keloid Scars
How effective is this novel technique compared with other options for keloid scar treatment? Is it a viable treatment alternative? Plastic Reconstructive Surgery-Global Open (PRS Global Open)
CONCLUSION Combination keloid therapy using fractional lasers, superficial cryotherapy, and intralesional triamcinolone injection is safe and more effective than individual monotherapies.
Autologous fat grafting is a technique with various applications in the craniofacial region ranging from the treatment of wounds, scars, keloids, and soft tissue deformities. In this review, alternative therapies to fat grafting are discussed. These are composed of established therapies like silicone gel or sheeting, corticosteroids, cryotherapy, and laser therapy. Novel applications of negative pressure wound therapy, botulinum toxin A injection, and biologic agents are also reviewed.
Cutaneous injury can ignite excessive fibroproliferative growth that results in keloid formation. Keloids are associated with significant morbidity related to disfigurement and/or symptoms (e.g. pain, pruritus). First ‐line treatment of formed keloids involves topical or intralesional steroids. Recurrent or resistant keloids are managed by surgical excision or cryotherapy, followed by steroidal application or adjuvant irradiation. While adjuvant irradiation appears to be most efficacious, alternative therapeuti c options are needed for patients without access to radiation centers. Botulinum Toxin A (BTA) appears to have ...
CONCLUSIONS: Patient-reported outcomes provide valuable insights into the perceptions, treatment goals, and quality of life of keloid patients. Development of more patient-reported outcome measures specific to keloids, especially those that incorporate both scar and quality of life assessments, may help refine our current understanding of keloid management. PMID: 30375208 [PubMed - as supplied by publisher]
Publication date: December 2015Source: Journal of the American College of Clinical Wound Specialists, Volume 7, Issues 1–3Author(s): Walid Mari, Sami G. Alsabri, Najib Tabal, Sara Younes, Abdulamagid Sherif, Richard SimmanAbstractKeloid scar, dermal benign fibro-proliferative growth that extends outside the original wound and invades adjacent dermal tissue due to extensive production of extracellular matrix, especially collagen, which caused by over expression of cytokines and growth factors. Although many attempts were made to understand the exact pathophysiology and the molecular abnormalities, the pathogenesis of ...
Recurrent granulation tissue or anastomotic stenosis cause major morbidity for patients undergoing lung transplantation. Common therapeutic options include bronchoscopic interventions (BI) like surgical debridement, cryotherapy, LASER coagulation, balloon bronchoplasty and stent placement. Small institutional experiences have suggested efficacy of endobronchial brachytherapy (EBB) for recurrent post-transplant bronchial stenosis (PTBS) which has an anti-inflammatory effect similar to it's use for keloids or heterotopic ossification.
CONCLUSION The new stereoscopic optical system is a valid, accurate, and practical objective method for assessing scar volume and for monitoring treatment response. It is more sensitive and accurate than semiquantitative objective scales. Further studies with a higher number of patients and scars are required to increase the measurement validity of the system.
Abstract: Lobomycosis or lacaziosis is a chronic granulomatous fungal infection caused by Lacazia loboi. Most cases are restricted to tropical regions. Transmission is believed to occur through traumatic inoculation in the skin, mainly in exposed areas. It is characterized by keloid-like nodules. There are only a few hundred cases reported. The differential diagnoses include many skin conditions, and treatment is difficult. The reported case, initially diagnosed as keloid, proved to be refractory to surgical treatment alone. It was subsequently approached with extensive surgery, cryotherapy every three months and a combina...
CONCLUSION Objective measurements of relevant keloid characteristics as height, volume, and penetration depth help in quantifying the therapeutic effect. The observed results confirm that intralesional injections of crystalline triamcinolone acetonide combined with cryotherapy represent a powerful approach to reduce scar height and volume significantly.
Keloids are a burden for patients due to physical, aesthetic and social consequences. Treatment remains a challenge due to therapy resistance and high recurrence rates. The main goals of treatment are to improve scar appearance and symptoms and patients' quality of life (QoL).