scholarly journals A Toe Keloid after Syndactyly Release Treated with Surgical Excision and Intralesional Steroid Injection

2014 ◽  
Vol 2 (7) ◽  
pp. e186 ◽  
Author(s):  
Satoko Yamawaki ◽  
Motoko Naitoh ◽  
Toshihiro Ishiko ◽  
Rino Aya ◽  
Yasuhiro Katayama ◽  
...  
Keyword(s):  
Steroid Injection ◽  
Surgical Excision ◽  
Intralesional Steroid ◽  
Intralesional Steroid Injection

scholarly journals Management of Ganglion: Comparative Study between Surgical Excision and Aspiration followed by Intralesional Steroid Injection

2020 ◽  
Vol 14 (2) ◽  
pp. 190-192
Author(s):  
Md Nasir Uddin ◽  
Munshi Md Mojibur Rahman ◽  
Md Mahbubur Rahman ◽  
SM Shakhwat Hossain
Keyword(s):  
Pain Relief ◽  
Steroid Injection ◽  
Armed Forces ◽  
Surgical Excision ◽  
Management Options ◽  
Intralesional Steroid ◽  
Intralesional Steroid Injection ◽  
Group A ◽  
Group B ◽  
Scar Mark

Introduction: Ganglions are tense, smooth, cystic transilluminant swellings. They are the commonest soft tissue swelling of the hand and most commonly found on the dorsum of the wrist. At present aspiration or surgery are the management options of Ganglion. To improve the outcome of treatment some advocated aspiration combined with steroid injection into the cyst. Objectives: To compare pain relief, cosmetic results and recurrence rate in the management of ganglion with aspiration followed by intralesional steroid (triamcinolone acetate) injection and surgical excision. Materials and Methods: Prospective interventional control trial was performed from October 2016 to October 2017. Fifty patients were treated in two groups in group A (33 patients), aspiration followed by intralesional steroid (triamcinolone acetate) injection and group B (17 patients) surgical excision was performed on. Follow up of patients were done on at one, three and six months after treatment up to 1 year. Results: In group A out of 33 patients, pain relief was in all 33 (100%) patients, there was no scar mark and only in 4 (12.12%) patients there was recurrence which was managed by repeating the procedure. In group B, out of 17 patients, pain relief was in 15 (88.23%), 17(100%) patients had linear scar mark, 1(5.8%) patient had hypertrophic scar and 02 (11.76%) patients had recurrence which was managed with intralesional steroid as group A. Journal of Armed Forces Medical College Bangladesh Vol.14 (2) 2018: 190-192

Postcricoid haemangioma with laryngomalacia in infancy

2021 ◽  
Vol 14 (4) ◽  
pp. e235936
Author(s):  
Noraimi Khamalrudin ◽  
Bee See Goh
Keyword(s):  
Head And Neck ◽  
Steroid Injection ◽  
Neck Region ◽  
Vascular Anomaly ◽  
Surgical Excision ◽  
Disease Recurrence ◽  
Head And Neck Region ◽  
Flexible Laryngoscopy ◽  
Intralesional Steroid ◽  
Intralesional Steroid Injection

Infantile haemangioma represents a congenital vascular anomaly commonly observed in the head and neck region. Such an occurrence over the postcricoid region, however, is rather unusual. Herein, the authors report a case of a synchronous postcricoid haemangioma in a 7-week-old newborn diagnosed with severe laryngomalacia. In addition to the floppy redundant arytenoid mucosa, flexible laryngoscopy revealed a lobulated bluish mass at the postcricoid. The lesion was hyperintense on T1-weighted sequence and was enhanced with contrast, supporting the diagnosis of a haemangioma. She underwent surgical excision of the haemangioma with intralesional steroid injection. Surveillance at 6-month postoperation did not show disease recurrence.

scholarly journals Simple device to determine the pressure applied by pressure clips for the treatment of earlobe keloids

2015 ◽  
Vol 48 (03) ◽  
pp. 293-296 ◽  
Author(s):  
Aashish Sasidharan ◽  
Ann David ◽  
Amish Gohil ◽  
Ashish Kumar Gupta
Keyword(s):  
Steroid Injection ◽  
Surgical Excision ◽  
Compression Therapy ◽  
Treatment Modalities ◽  
Slight Variation ◽  
Simple Method ◽  
Pressure Therapy ◽  
Intralesional Steroid ◽  
Intralesional Steroid Injection ◽  
Common Problems

ABSTRACT Background: Keloids of the ear are common problems. Various treatment modalities are available for the treatment of ear keloids. Surgical excision with intralesional steroid injection along with compression therapy has the least recurrence rate. Various types of devices are available for pressure therapy. Pressure applied by these devices is uncontrolled and is associated with the risk of pressure necrosis. We describe here a simple and easy to use device to measure pressure applied by these clips for better outcome. Objectives: To devise a simple method to measure the pressure applied by various pressure clips used in ear keloid pressure therapy. Materials and Methods: By using a force sensitive resistor (FSR), the pressure applied gets converted into voltage using electrical wires, resistors, capacitors, converter, amplifier, diode, nine-volt (9V) cadmium battery and the voltage is measured using a multimeter. The measured voltage is then converted into pressure using pressure voltage graph that depicts the actual pressure applied by the pressure clip. Results: The pressure applied by different clips was variable. The spring clips were adjustable by slight variation in the design whereas the pressure applied by binder clips and magnet discs was not adjustable. Conclusion: The uncontrolled/suboptimal pressure applied by certain pressure clips can be monitored to provide optimal pressure therapy in ear keloid for better outcome.

WRIST GANGLION TREATMENT: A COMPARISON OF ASPIRATION WITH INTRALESIONAL STEROID INJECTION, LOOP SUTURE, AND SURGICAL EXCISION

2021 ◽  
pp. 5-7
Author(s):  
Jitendra Kumar Aloria ◽  
Dinesh Kumar Bairwa ◽  
Vishnu prasad ◽  
Rajesh Goel
Keyword(s):  
Steroid Injection ◽  
Surgical Excision ◽  
Pain Reduction ◽  
Management Options ◽  
Therapeutic Outcomes ◽  
Experienced Pain ◽  
Intralesional Steroid ◽  
Intralesional Steroid Injection ◽  
Group A ◽  
Group B

Introduction: Ganglions contain transilluminant growths that seem to be tight, smooth, and cystic. They are by far the most frequent soft tissue swelling of the hand, with the dorsum of the wrist being the most prevalent location. Ganglion management options currently include aspiration, loop suture, and surgery. Some supported aspiration combined with steroid injection and loop suture method into the cyst to improve therapeutic outcomes. Objectives: To assess discomfort alleviation, visual results, and recurrence rate in ganglion therapy utilizing aspiration, intralesional steroids (triamcinolone acetate) administration, loop suture approach, versus surgical resection. Material and Methods: -In this prospective and observational study, 50 participants were categorized into 3 groups and managed at GMC Kota during March 2019 and December 2020. Aspiration followed by intralesional steroid (triamcinolone acetate) injection was given to Group A (89 participants), loop suture method was given to Group B (55 patients), and surgical excision was given to Group C (16 patients). Patients were monitored on for up to a year after therapy at one, three, and six months. Results: Out of 89 patients in group A, 88 (98.76%) had pain alleviation, no scars, and just four (4.49%) had recurrence, which was handled by repeating the treatment. Out of 55 patients in group B, 52 (94.55 percent) experienced pain reduction, while three (5.45%) experienced recurrence. In group C, out of 16 patients, 14 (87.5%) experienced pain reduction, while 16 (100%) experienced linear scarring with recurrence (6.25 percent). Patients in group Aexperienced recurrence, which was treated with intralesional steroid.

The Efficacy of Skin Cooling for Pain Relief during Intralesional Steroid Injection for Keloid Treatment: A Randomized Cross-Over Study

2021 ◽  
Vol 104 (11) ◽  
pp. 1752-1757
Keyword(s):  
Treatment Group ◽  
Rating Scale ◽  
Steroid Injection ◽  
Pairwise Comparison ◽  
Random Order ◽  
Repeated Measure ◽  
Skin Cooling ◽  
Intralesional Steroid ◽  
Intralesional Steroid Injection ◽  
Pre Treatment

Objective: To evaluate if pre-treatment skin cooling can reduce the pain during steroid injection. Materials and Methods: A randomized cross-over study was conducted between September 2015 and October 2016. This study received ethical approval ID035904 No. MURA2016/152. Forty-four subjects with keloid that needed intralesional steroid injection were divided into three pretreatment groups, no treatment, skin cooling with ice pack, and skin applying with a mixture of lidocaine 2.5% and prilocaine 2.5% (EMLA®), in random order. Pain intensity was measured by using 100-mm visual analogue scale (VAS). The satisfaction levels were assessed with orderly interval rating scale from 1 to 5. Repeated-measure analysis of variance (ANOVA) and Bonferroni pairwise comparison were used for data analyses. Results: The mean VAS score at the time of needle puncturing into the skin and during steroid infiltration was statistically significant lower in skin cooling compared to no treatment group (p<0.001) and EMLA group (p<0.05). The satisfaction level was also statistically significant higher in skin cooling compared to no treatment group (p<0.001) and EMLA group (p<0.001). Thirty-seven patients (84%) selected skin cooling method as the most favorable pre-anesthetic method for intralesional steroid injection. Conclusion: Skin cooling with ice before intralesional steroid injection of keloid effectively reduces pain and patients are also satisfied. Keyword: Keloid, Corticosteroid, Pre-treatment, pain, skin cooling

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