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螺旋边缘瘢痕疙瘩的手术切除联合定制硅酮压力夹板治疗。

Combination of surgical excision and custom designed silicon pressure splint therapy for keloids on the helical rim.

机构信息

Department of General and Visceral Surgery, Augusta Kranken Anstalt, Academic Teaching Hospital of the Ruhr-University Bochum, Germany.

出版信息

Head Face Med. 2007 Mar 12;3:14. doi: 10.1186/1746-160X-3-14.

DOI:10.1186/1746-160X-3-14
PMID:17352809
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1828721/
Abstract

Keloids are defined as dermal fibrotic lesions which are considered an aberration of the wound healing process. Their etiology and pathogenesis are poorly understood. Different treatment modalities are described in the literature depending on the morphology and size of the keloid. We report a case of a large ear keloid on the helical rim which was successfully treated with surgery and a custom designed silicon pressure clip.

摘要

瘢痕疙瘩是一种皮肤纤维瘤病变，被认为是创伤愈合过程的一种异常。其病因和发病机制尚不清楚。文献中描述了不同的治疗方法，取决于瘢痕疙瘩的形态和大小。我们报告了一例位于螺旋缘的大型耳瘢痕疙瘩，通过手术和定制的硅酮压力夹成功治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f32/1828721/741d733abc86/1746-160X-3-14-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f32/1828721/5d14867805f4/1746-160X-3-14-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f32/1828721/771784e3e57d/1746-160X-3-14-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f32/1828721/23f556f274bd/1746-160X-3-14-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f32/1828721/f9d1367d673b/1746-160X-3-14-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f32/1828721/741d733abc86/1746-160X-3-14-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f32/1828721/5d14867805f4/1746-160X-3-14-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f32/1828721/771784e3e57d/1746-160X-3-14-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f32/1828721/23f556f274bd/1746-160X-3-14-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f32/1828721/f9d1367d673b/1746-160X-3-14-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f32/1828721/741d733abc86/1746-160X-3-14-5.jpg

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Combination of surgical excision and custom designed silicon pressure splint therapy for keloids on the helical rim.螺旋边缘瘢痕疙瘩的手术切除联合定制硅酮压力夹板治疗。
Head Face Med. 2007 Mar 12;3:14. doi: 10.1186/1746-160X-3-14.
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本文引用的文献

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Bleomycin tattooing as a promising therapeutic modality in large keloids and hypertrophic scars.博来霉素纹身作为治疗大面积瘢痕疙瘩和增生性瘢痕的一种有前景的治疗方式。
Dermatol Surg. 2006 Aug;32(8):1023-9; discussion 1029-30. doi: 10.1111/j.1524-4725.2006.32225.x.
2
Imiquimod 5% cream for keloid management.用于瘢痕疙瘩治疗的5%咪喹莫特乳膏
Dermatol Surg. 2003 Oct;29(10):1050-1. doi: 10.1046/j.1524-4725.2003.29300.x.
3
Postoperative electron-beam irradiation therapy for keloids and hypertrophic scars: retrospective study of 147 cases followed for more than 18 months.
Indian J Plast Surg. 2016 Sep-Dec;49(3):410-414. doi: 10.4103/0970-0358.197250.
4
Simple device to determine the pressure applied by pressure clips for the treatment of earlobe keloids.用于确定治疗耳垂瘢痕疙瘩时压力夹施加压力的简易装置。
Indian J Plast Surg. 2015 Sep-Dec;48(3):293-6. doi: 10.4103/0970-0358.173128.
5
Successful eradication of helical rim keloids with surgical excision followed by pressure therapy using a combination of magnets and silicone gel sheeting.通过手术切除成功根除螺旋边缘瘢痕疙瘩，随后使用磁铁和硅胶片联合进行压力治疗。
Int Wound J. 2017 Apr;14(2):302-306. doi: 10.1111/iwj.12547. Epub 2015 Nov 23.
6
Cutaneous lesions of the external ear.外耳的皮肤病变。
Head Face Med. 2008 Feb 8;4:2. doi: 10.1186/1746-160X-4-2.
瘢痕疙瘩和增生性瘢痕的术后电子束放射治疗：147例随访超过18个月的回顾性研究
Plast Reconstr Surg. 2003 Feb;111(2):547-53; discussion 554-5. doi: 10.1097/01.PRS.0000040466.55214.35.
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Pilot study of the effect of postoperative imiquimod 5% cream on the recurrence rate of excised keloids.5%咪喹莫特乳膏对切除瘢痕疙瘩复发率影响的初步研究
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Radiotherapy in the management of keloids. Clinical experience with electron beam irradiation and comparison with X-ray therapy.瘢痕疙瘩治疗中的放射疗法。电子束照射的临床经验及与X线疗法的比较。
Strahlenther Onkol. 2002 Jun;178(6):330-5. doi: 10.1007/s00066-002-0935-6.
6
Silicone versus nonsilicone gel dressings: a controlled trial.硅胶与非硅胶凝胶敷料：一项对照试验。
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Use of cryotherapy in the treatment of keloids.冷冻疗法在瘢痕疙瘩治疗中的应用。
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Silicone gel sheeting for the prevention and management of evolving hypertrophic and keloid scars.用于预防和处理增生性瘢痕和瘢痕疙瘩的硅胶片。
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Keloids in various races. A review of 175 cases.不同种族的瘢痕疙瘩。175例病例回顾。
Plast Reconstr Surg. 1969 Dec;44(6):564-6. doi: 10.1097/00006534-196912000-00006.