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DOI: 10.4103/0970-0358.173128
Simple device to determine the pressure applied by pressure clips for the treatment of earlobe keloids
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Publication History
Publication Date:
26 August 2019 (online)
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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Conflicts of interest
There are no conflicts of interest.
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REFERENCES
- 1 Zuber TJ, DeWitt DE. Earlobe keloids. Am Fam Physician 1994; 49: 1835-41
- 2 Nason LH. Keloids and their treatment. N Engl J Med 1942; 226: 883-6
- 3 Vachiramon A, Bamber MA. A U-loop pressure clip for earlobe keloid. J Prosthet Dent 2004; 92: 389-91
- 4 Snyder GB. Button compression for keloids of the lobule. Br J Plast Surg 1974; 27: 186-7
- 5 Mercer DM, Studd DM. "Oyster splints": A new compression device for the treatment of keloid scars of the ear. Br J Plast Surg 1983; 36: 75-8
- 6 Kulkarni A, Abhyankar S, Singh R, Bhatia S, Desai R. Innovative pressure clip for ear keloid. Indian J Otol 2012; 18: 161
- 7 Sand M, Sand D, Boorboor P, Mann B, Altmeyer P, Hoffmann K. et al Combination of surgical excision and custom designed silicon pressure splint therapy for keloids on the helical rim. Head Face Med 2007; 3: 14
- 8 Brent B. The role of pressure therapy in management of earlobe keloids: Preliminary report of a controlled study. Ann Plast Surg 1978; 1: 579-81
- 9 Agrawal K, Panda KN, Arumugam A. An inexpensive self-fabricated pressure clip for the ear lobe. Br J Plast Surg 1998; 51: 122-3
- 10 Murina AT, Ellis DL. Binder clips in the treatment of auricular keloids. J Am Acad Dermatol 2014; 71: e243
- 11 Chang CH, Song JY, Park JH, Seo SW. The efficacy of magnetic disks for the treatment of earlobe hypertrophic scar. Ann Plast Surg 2005; 54: 566-9
- 12 Park TH, Seo SW, Kim JK, Chang CH. Outcomes of surgical excision with pressure therapy using magnets and identification of risk factors for recurrent keloids. Plast Reconstr Surg 2011; 128: 431-9
- 13 Magnetic pressure [Internet]. Wikipedia, the free encyclopedia. 2014 http://en.wikipedia.org/w/index.php?title=Magnetic_pressureandoldid=603173643 . [Last accessed on 2015 May 02]
Address for correspondence:
-
REFERENCES
- 1 Zuber TJ, DeWitt DE. Earlobe keloids. Am Fam Physician 1994; 49: 1835-41
- 2 Nason LH. Keloids and their treatment. N Engl J Med 1942; 226: 883-6
- 3 Vachiramon A, Bamber MA. A U-loop pressure clip for earlobe keloid. J Prosthet Dent 2004; 92: 389-91
- 4 Snyder GB. Button compression for keloids of the lobule. Br J Plast Surg 1974; 27: 186-7
- 5 Mercer DM, Studd DM. "Oyster splints": A new compression device for the treatment of keloid scars of the ear. Br J Plast Surg 1983; 36: 75-8
- 6 Kulkarni A, Abhyankar S, Singh R, Bhatia S, Desai R. Innovative pressure clip for ear keloid. Indian J Otol 2012; 18: 161
- 7 Sand M, Sand D, Boorboor P, Mann B, Altmeyer P, Hoffmann K. et al Combination of surgical excision and custom designed silicon pressure splint therapy for keloids on the helical rim. Head Face Med 2007; 3: 14
- 8 Brent B. The role of pressure therapy in management of earlobe keloids: Preliminary report of a controlled study. Ann Plast Surg 1978; 1: 579-81
- 9 Agrawal K, Panda KN, Arumugam A. An inexpensive self-fabricated pressure clip for the ear lobe. Br J Plast Surg 1998; 51: 122-3
- 10 Murina AT, Ellis DL. Binder clips in the treatment of auricular keloids. J Am Acad Dermatol 2014; 71: e243
- 11 Chang CH, Song JY, Park JH, Seo SW. The efficacy of magnetic disks for the treatment of earlobe hypertrophic scar. Ann Plast Surg 2005; 54: 566-9
- 12 Park TH, Seo SW, Kim JK, Chang CH. Outcomes of surgical excision with pressure therapy using magnets and identification of risk factors for recurrent keloids. Plast Reconstr Surg 2011; 128: 431-9
- 13 Magnetic pressure [Internet]. Wikipedia, the free encyclopedia. 2014 http://en.wikipedia.org/w/index.php?title=Magnetic_pressureandoldid=603173643 . [Last accessed on 2015 May 02]