CC BY-NC-ND 4.0 · Indian J Plast Surg 2016; 49(03): 410-414
DOI: 10.4103/0970-0358.197250
Case Report
Association of Plastic Surgeons of India

Surgical excision and contoured custom made splint to treat helical keloid

Ankita Chamaria
Department of Prosthodontics, Goa Dental College, Bambolim, Goa, India
,
Reuben Fernando De Sousa
1   Department of Plastic Surgery, Goa Medical College, Bambolim, Goa, India
,
Meena Ajay Aras
Department of Prosthodontics, Goa Dental College, Bambolim, Goa, India
,
Kennedy Mascarenhas
Department of Prosthodontics, Goa Dental College, Bambolim, Goa, India
› Author Affiliations
Further Information

Address for correspondence:

Dr. Ankita Chamaria
D/305, Suncity Complex, 105/1, Biddhannagar Road, Ultadanga, Kolkata - 700 067
India   

Publication History

Publication Date:
26 August 2019 (online)

 

ABSTRACT

Helical keloids are difficult to treat as surgical excision requires effective compression of the operative scar to prevent recurrence while retaining the contour and elasticity of the helix. The authors fabricated a conforming custom made post-operative splint from a commonly used dental material. Splints could be fabricated in both pre-operative and post-operative stage.


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Conflicts of interest

There are no conflicts of interest.

  • REFERENCES

  • 1 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
  • 2 Chalian VA, Bennett JE, Sayoc AM, Ghalichebaf M. Auricular compression stent. J Prosthet Dent 1985; 54: 560-3
  • 3 Chrisostomidis C, Konofaos P, Chrisostomidis G, Vasilopoulou A, Dimitroulis D, Frangoulis M. et al. Management of external ear keloids using form-pressure therapy. Clin Exp Dermatol 2008; 33: 273-5
  • 4 Hassel JC, Roberg B, Kreuter A, Voigtländer V, Rammelsberg P, Hassel AJ. Treatment of ear keloids by compression, using a modified oyster-splint technique. Dermatol Surg 2007; 33: 208-12
  • 5 Yüzbasioglu E. Reverse activated hyrax pressure appliance for treatment of a keloid located at auricula helix. J Prosthodont 2013; 22: 509-12
  • 6 Hurtado AJ, Crowther DS. Methyl methacrylate stent for prevention of postexcisional recurrent ear keloid. J Prosthet Dent 1985; 54: 245-50
  • 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 Rathee M, Kundu R. Magnet-retained prophylactic appliance for post-excisional pressure therapy and custom-made acrylic therapeutic pressure appliance for auricular keloid: A clinical report. J Surg Tech Case Rep 2014; 6: 29-32
  • 9 Kadouch DJ, van der Veer WM, Kerkdijk D, Mahdavian Delavary B, Niessen FB. Postoperative pressure therapy of ear keloids using a custom-made methyl methacrylate stent. Dermatol Surg 2010; 36: 383-5
  • 10 Yigit B, Yazar M, Alyanak A, Guven E. A custom-made silicon mold for pressure therapy to ear keloids. Aesthetic Plast Surg 2009; 33: 849-51

Address for correspondence:

Dr. Ankita Chamaria
D/305, Suncity Complex, 105/1, Biddhannagar Road, Ultadanga, Kolkata - 700 067
India   

  • REFERENCES

  • 1 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
  • 2 Chalian VA, Bennett JE, Sayoc AM, Ghalichebaf M. Auricular compression stent. J Prosthet Dent 1985; 54: 560-3
  • 3 Chrisostomidis C, Konofaos P, Chrisostomidis G, Vasilopoulou A, Dimitroulis D, Frangoulis M. et al. Management of external ear keloids using form-pressure therapy. Clin Exp Dermatol 2008; 33: 273-5
  • 4 Hassel JC, Roberg B, Kreuter A, Voigtländer V, Rammelsberg P, Hassel AJ. Treatment of ear keloids by compression, using a modified oyster-splint technique. Dermatol Surg 2007; 33: 208-12
  • 5 Yüzbasioglu E. Reverse activated hyrax pressure appliance for treatment of a keloid located at auricula helix. J Prosthodont 2013; 22: 509-12
  • 6 Hurtado AJ, Crowther DS. Methyl methacrylate stent for prevention of postexcisional recurrent ear keloid. J Prosthet Dent 1985; 54: 245-50
  • 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 Rathee M, Kundu R. Magnet-retained prophylactic appliance for post-excisional pressure therapy and custom-made acrylic therapeutic pressure appliance for auricular keloid: A clinical report. J Surg Tech Case Rep 2014; 6: 29-32
  • 9 Kadouch DJ, van der Veer WM, Kerkdijk D, Mahdavian Delavary B, Niessen FB. Postoperative pressure therapy of ear keloids using a custom-made methyl methacrylate stent. Dermatol Surg 2010; 36: 383-5
  • 10 Yigit B, Yazar M, Alyanak A, Guven E. A custom-made silicon mold for pressure therapy to ear keloids. Aesthetic Plast Surg 2009; 33: 849-51