2020, Number 1
Giant keloid scar
Language: Spanish
References: 11
Page: 192-198
PDF size: 184.79 Kb.
ABSTRACT
Introduction: The keloid scar is part of the pathological scars by excess, is a condition characterized by the excessive deposit of collagen in the dermis and subcutaneous cell tissue, the process by which it develops is not entirely known, it is more frequent in the black race, affects in equal proportion men than women.Objective: To inform the medical community of the experience in handling and treating two patients with large keloid lesions.
Clinical case: Two patients with giant keloid scars are presented from both earlobes and anterior neck where therapeutic behavior based on the combination of three treatment modalities is exposed: surgery, triamcinolone acetonide 1 ml (40mg) infiltration beginning on the first day after surgery, repeated every 15 days and pressotherapy with steroid cream.
Conclusions: Although there is no ideal treatment, it should be taken into account when treating this disease if we are facing a recurrent injury, the time of onset of the tumor, its clinical characteristics, surgical treatment should be selected as a therapeutic option, accompanied by other forms of treatment.
REFERENCES
Carvalhaes S M, Petroianu A, Ferreira M A T, Barros VM, Lopes RV. Avaliação do tratamento de queloide do lóbulo da orelhacominfiltração de triancinolona, retirada cirúrgica e compressão da cicatriz. Rev Col Bras Cir. Feb 2015[acceso: 05/02/2019]; 42(1):09-13. Disponible en: Disponible en: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912015000200009&lng
Santos J, Prazeres M, Souza C,Vasconcelos AC, Nunes A. Efeito da triancinolona na apoptose celular e nas alterações morfológicas em queloides. Rev Col Bras Cir. Jun 2015[acceso: 05/02/2019]; 42(3):171-174. Disponible en: Disponible en: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912015000400171&lng
Gutiérrez C, López FJ, Lara J, Cervantes JP, Márquez E. Morales D Protocolo de tratamiento de cicatrices queloides en el pabellón auricular del Hospital General Dr. Manuel Gea González. Cir plást iberolatinoam. Mar 2012[acceso:05/02/2019]; 38(1):49-54. Disponible en: Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0376-78922012000100006&lng