Beato CAI, Valdés MS, Machado FML, Palacios AIR

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

1. Coiffman F, González-Rentería J. Cicatrices hipertróficas y queloides. En Cirugía Plástica, Reconstructiva y Estética. 3ª ed. La Habana: Ediciones Científicas y Técnicas; 2008

2. García A, Barrios-Crispi M V, Ferrer-Ramírez M J, Lucena E, Lozano I, Faubel-Serra M. Queloide de gran tamaño en pabellón auricular. Revista Portuguesa de Otorrinolaringología e Cirurgía Cérvico-Facial. 2017; 55(1): 47-50.

3. Andrades P, Sepulda S. Cirugía Plástica Esencial. En: Andrades P, Sepulveda S. Cicatrización patológica. Hospital clínico universitario de Chile. 3ª ed. Universidad de Chile; 2005.p31-44.

4. Cotran RS, Komar V, Collins T. Reparación de los tejidos: proliferación celular, fibrosis y curación de las heridas. En: Graw-Hill MC, ed. Robbins Patología estructural y funcional. 6 ed. Madrid. Interamericana; 2000.p 95-120.

5. Seo SH. Tratamiento de los queloides y cicatrices hipertróficas con Mitomicina C tópica e intralesional. J EurAcad. Dermat venerol. 2012 May ;6(5):634-8.

6. 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

7. 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

8. 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

9. Cuenca-Pardo J, Hernández-Valverde CB, Álvarez-Díaz CDJ, Luján-Olivar FS, Escalona-Mancilla A. Tratamiento quirúrgico de cicatrices queloides en oreja. Cirugía Plástica. 2006; 16(2):78-83

10. Ragoowansi R, Powell B W, Moss A L H, Cornes P G S, Glees J. P. Ear-lobe keloids: treatment by a protocol of surgical excision and immediate postoperative adjuvant radiotherapy. British journal of plastic surgery. 2001; 54(6):504-508

11. Ávila A, Amaya M, Martínez J D, Moreno J. Panorama actual de las alternativas en el tratamiento de la cicatriz hipertrófica y queloide. Dermatología Revista mexicana. 2014; 58(3):247-261.