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

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.

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

Journal of Armed Forces Medical College Bangladesh ◽

10.3329/jafmc.v14i2.45907 ◽

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

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Comparative Study of Surgical Treatment of Chalazion

Faridpur Medical College Journal ◽

10.3329/fmcj.v9i2.25676 ◽

2015 ◽

Vol 9 (2) ◽

pp. 68-69

Author(s):

Khandaker Anowar Hossain ◽

Md Abdur Rashid ◽

AKM Rafiqul Islam

Keyword(s):

Inflammatory Lesion ◽

Skin Surface ◽

Meibomian Gland ◽

Medical College ◽

Large Size ◽

Intralesional Steroid ◽

Intralesional Steroid Injection ◽

Group A ◽

Group B

A chalazion is chronic lipogranulomatous inflammatory lesion caused by blockage of meibomian gland orifices & stagnation of sebaceous secretion. Common practices in treatment of chalazion are intralesional steroid injection, incision & curettage and excision of chalazion. Recurrence rate is high for incision & curettage in case of large chalazion. The aim of the study is to established that excision large chalazion give better result than incision & curettage. The study was carried out at Diabetic Association Medical College & Hospital, Faridpur and General Hospital, Fadidpur. A total 100 cases were selected for study. Technique of operation were incision & curettage through conjunctival surface and excision of chalazion through skin surface. In 50 % cases we performed incision & curettage both in small (size <5mm) and large (size >5mm) chalazion. In 50 % cases of large chalazion we performed excision of chalazion. The follow up period was 3 months to 6 months. In group -A with incision & curettage through conjunctival surface, in case of small chalazion 27 out of 30 patients were cured (90%). In case of large chalazion 14 out of 20 patients were cured (70%). In group B with excision of chalazion through skin surface, in case of large chalazion 49 out of 50 patients were cured (98%). So higher success rate after excision of large chalazion through skin surface.Faridpur Med. Coll. J. 2014;9(2): 68-69

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

Plastic & Reconstructive Surgery Global Open ◽

10.1097/gox.0000000000000152 ◽

2014 ◽

Vol 2 (7) ◽

pp. e186 ◽

Cited By ~ 4

Author(s):

Satoko Yamawaki ◽

Motoko Naitoh ◽

Toshihiro Ishiko ◽

Rino Aya ◽

Yasuhiro Katayama ◽

...

Keyword(s):

Steroid Injection ◽

Surgical Excision ◽

Intralesional Steroid ◽

Intralesional Steroid Injection

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Vibration Anesthesia for Pain Reduction During Intralesional Steroid Injection for Keloid Treatment

Dermatologic Surgery ◽

10.1097/dss.0000000000001040 ◽

2017 ◽

Vol 43 (5) ◽

pp. 724-727 ◽

Cited By ~ 7

Author(s):

Kui Young Park ◽

Yohan Lee ◽

Ji Yeon Hong ◽

Won Soon Chung ◽

Myeung Nam Kim ◽

...

Keyword(s):

Steroid Injection ◽

Pain Reduction ◽

Intralesional Steroid ◽

Intralesional Steroid Injection

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Postcricoid haemangioma with laryngomalacia in infancy

BMJ Case Reports ◽

10.1136/bcr-2020-235936 ◽

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.

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

Indian Journal of Plastic Surgery ◽

10.4103/0970-0358.173128 ◽

2015 ◽

Vol 48 (03) ◽

pp. 293-296 ◽

Cited By ~ 2

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.

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Out Come of Wide Local Excision with and without Corticosteroid Therapy in Management of Idiopathic Granulomatous Mastitis

Tumori Journal ◽

10.1177/03008916211012342 ◽

2021 ◽

Vol 107 (1_suppl) ◽

pp. 13-13

Author(s):

R Amira Maher ◽

Ahmed Gamal Eldin Osman ◽

K Fahmy ◽

Shinamwi M ◽

Osama Al Atarash

Keyword(s):

Recurrence Rate ◽

Corticosteroid Therapy ◽

Surgical Excision ◽

Cosmetic Outcome ◽

Systemic Steroid ◽

Granulomatous Mastitis ◽

Idiopathic Granulomatous Mastitis ◽

Palpable Mass ◽

Group A ◽

Group B

Introduction: Idiopathic granulomatous mastitis is a rare benign breast disease. Initial reports from hospitals in Egypt from Departments of Pathology at Cancer Institutes of Cairo, Tanta and Mansoura Universities; indicate that the disease is not as rare as that in the developed countries. It often mimics breast carcinoma both clinically and radiologically. Histological examination is the gold standard for diagnosis. Management of Idiopathic granulomatous mastitis is still debatable. In our study, we aimed to evaluate the addition of corticosteroid therapy to surgical excision in management of idiopathic granulomatous mastitis. Patients and Methods: This is a comparative study was conducted at Ain-Shams University Hospital’s breast clinic on patients with idiopathic granulomatous mastitis from to August 2015 till September 2018. Thirty patients were divided into 2 groups. Group (A) includes patients who underwent surgical management only. Group (B) includes patients who received corticosteroid therapy according to the severity of the cases then surgical Excision was done for the residual lesion. Follow up of all cases up to 1-2 years was done to document the recurrence rate and compare the cosmetic outcome of both groups. Informed consent was obtained from all patients included in the study. Results: The mean age of the affected women was 38.80 and 33.13 in group (A) and group (B), respectively and it wasn’t statistically different (p value = 0.099). The most common presenting symptom was a palpable mass in the breast (66.7% and 93.3%) in group (A) and group (B) respectively. Recurrence rate was higher in group (A) (40%) with no recurrence documented in group (B) however 2 cases were omitted from the study due to steroid noncompliance and complications. Cosmetic outcome was excellent in 76.9% of group (B) and good in 53.3% of group (A). Conclusion: Systemic steroid therapy with surgical resection is the recommended as first-line treatment strategy for IGM as it shows less recurrence rate and surgical scarring. Increased awareness of IGM will increase their understanding and improve their management.

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