Better Health: Smart Health Commentary Better Health (TM): smart health commentary

Article Comments (9)

Promising New Pressure Treatment For Keloids Of The Ear Lobe

I have written of keloid treatment (general, not site specific) previously.  I have always tried to include pressure treatment as part of the plan when treating keloids of the ear lobe.  This pressure treatment came in the form of pressure earrings  — clip-on, disc-shaped.

The recent article (full reference below) in the Archives of Facial Plastic Surgery journal introduces a new pressure device which looks like it will work better than what has been available (photo credit)

and as can be seen in this photo, the upper ear can be treated with pressure which has not been possible with the clip earrings: (photo credit)

These devices were custom made which makes them more expensive than off-the-shelve pressure earrings and may make them difficult to get if no one is available in your area to make them.

From the article:

Pressure therapy was popularized in the 1970s after clinicians noticed that pressure stockings used over lower extremity burns caused scars to mature faster with decreased erythema and thickness.  Pressure causes localized hypoxia, resulting in fibroblast degeneration and disintegration owing to decreased intercollagenous cohesion and increased collagenase activity.

Furthermore, pressure has been shown to shorten scar formation time, reorient collagen fibers within the scar to become parallel to skin surface, increase hyaluronic acid levels, and decrease chondroitin sulfate levels, all of which help to flatten the initially elevated scar tissue and reduce recurrence rates.

According to various reviews and guidelines, pressure therapy is a long-standing therapeutic option for keloids, producing thinning and pliability. Although the precise biomolecular mechanism of compression is not understood, success rates of at least a partial reduction of derailed scars, from 60% to 85%, have been reported from a monotherapeutic regimen of pressure therapy. The combination of surgery with postoperative pressure treatment showed good response rates of about 90% to 100%, especially after excision of auricular keloids. ………

Overnight use of the new pressure device seems to be an effective extension of established auricular keloid therapy, with additional potential for prophylaxis of recurrence. Preliminary work was presented and intended to produce a demonstration of an optimized treatment modality. Analysis of this therapeutic regimen based on a larger sample size, and long-term follow-up will be the substance of a future report.

REFERENCE

Auricular Keloids: Combined Therapy With a New Pressure Device; Gregor M. Bran, Jörn Brom, Karl Hörmann, Boris A. Stuck; Arch Facial Plast Surg. 2011;Published online August 15, 2011. doi:10.1001/archfacial.2011.57

*This blog post was originally published at Suture for a Living*


You may also like these posts

Read comments »


9 Responses to “Promising New Pressure Treatment For Keloids Of The Ear Lobe”

  1. Aaron says:

    how do i get pressure rings like those

  2. rlbates says:

    Aaron, the article states these were custom made. You would need to find an MD who knew of the correct OT or prosthetic maker who could make them for you.

  3. purvi agarwal says:

    where can i get these made?

  4. Portia says:

    this seems like a good clip the others always break and ive been dealing with a ugly keloid for years where can i get one i need it asap.

  5. Janice says:

    Where do I find these type of compression earrings?

  6. margaux says:

    Delasco.com has pressure earrings. They are not fully custom but have options that work for many people.

  7. margaux says:

    Delasco has pressure earrings similar to these. They are not fully custom, but have options the work for many people.

  8. margaux says:

    Delasco has pressure earrings. They are not fully custom but have options that work for many people.

  9. Morgan Rackley says:

    hey everyone,
    Just wanted to share how I’m currently treating my keloid. I developed a keloid about a year ago from a surgery I had to remove a cyst. It’s about 1 and a half inches long and about 1/3 of a inch wide. It’s also 3-4 shades darker than my complexion.
    I went to Ulta about 2 weeks ago and saw this product called ScarAway. It’s like a silicone sheet. You’re supposed to wear the sheet for 12 weeks. I’m finished week 1 but I definitely saw a change. I’m approaching week 2 now.
    I have before and after pictures on my blog “Purging Pretty” (didn’t want to post the link so yall would feel like I’m spam. You can just google the blog if you like.
    But It really has shrunk a little in size and has lightened up. I really can’t wait to see how it looks on week 12.

Return to article »

Latest Interviews

Caring For Winter Olympians In Sochi: An Interview With Team USA’s Chief Medical Officer Dr. Gloria Beim

I am a huge fan of the winter Olympics partly because I grew up in Canada where most kids can ski and skate before they can run and partly because I used to participate in Downhill ski racing. Now that I m a rehab physician with a reconstructed knee I…

Read more »

How Do Hospital Executives Feel About Locum Tenens Agencies And Traveling Physicians?

I recently wrote about my experiences as a traveling physician and how to navigate locum tenens work. Today I want to talk about the client in this case hospital side of the equation. I ve had the chance to speak with several executives some were physicians themselves about the overall…

Read more »

See all interviews »

Latest Cartoon

See all cartoons »

Latest Book Reviews

The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

Read more »

Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

Read more »

Unaccountable: A Book About The Underbelly Of Hospital Care

I met Dr. Marty Makary over lunch at Founding Farmers restaurant in DC about three years ago. We had an animated conversation about hospital safety the potential contribution of checklists to reducing medical errors and his upcoming book about the need for more transparency in the healthcare system. Marty was…

Read more »

See all book reviews »