Bagadia Jimish, Jaiswal Saurabh, Bhalala Krishna B, Poojary Shital
Department of Dermatology and Venereology, K. J. Somaiya Medical College and Research Centre, Mumbai, India.
Pediatr Dermatol. 2019 Jul;36(4):561-563. doi: 10.1111/pde.13851. Epub 2019 May 23.
Umbilical granuloma is an overgrowth of granulation tissue following the separation of umbilical cord. Treatment options for this common entity are limited and have side effects such as chemical burns. In this study, we present a novel modification of the salt application method to treat infants with umbilical granuloma.
Seventeen infants were recruited in our study after institutional ethics committee approval and consent from the parents. The area of application was cleaned, and common table salt was carefully applied over the lesion. The granuloma was then occluded with surgical adhesive tape for 24 hours. Cases were followed up the next day to remove the occlusive tape and for assessment of improvement.
All seventeen cases responded well to this approach with complete resolution of lesions at 24 hours. Small clotlike shrunken tissue was found at the site of granuloma, which was easily scraped off during gentle cleansing. No major complication or recurrence was noted in 3 months of follow-up.
Complete resolution of umbilical granuloma can be achieved with a single, clinic-based application of salt under occlusion for 24 hours. Salt causes shrinkage of granuloma inside occluded hyperosmolar chamber by desiccant effect. The salient features of this method include ease of application, low cost of treatment, accurate one-time physician-controlled application, and complete and rapid resolution without complication.
脐肉芽肿是脐带脱落后肉芽组织过度生长的结果。这种常见病症的治疗选择有限，且存在化学灼伤等副作用。在本研究中，我们提出了一种治疗婴儿脐肉芽肿的新型盐敷法改良方案。
经机构伦理委员会批准并获得家长同意后，17名婴儿被纳入本研究。对敷用区域进行清洁，然后将普通食盐小心地敷在病损处。接着用手术胶带封闭肉芽肿24小时。次日对病例进行随访，去除封闭胶带并评估改善情况。
所有17例病例对该方法反应良好，24小时内病损完全消退。在肉芽肿部位发现小的凝块状萎缩组织，在轻柔清洗时很容易刮掉。随访3个月未发现重大并发症或复发情况。
通过在封闭状态下临床单次应用盐24小时，可实现脐肉芽肿的完全消退。盐通过干燥作用使封闭的高渗腔内的肉芽肿收缩。该方法的显著特点包括应用简便、治疗成本低、医生一次性精确控制应用、完全且快速消退且无并发症。
