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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.


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*

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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: 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.

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“When you enter a hospital, you’re bound to have some kind of mental status change,” said Dr. Fishbinder, co-partner of Area Hospitalists, PLLC. “Whether it’s confusion about where your room is located in relationship to the visitor’s parking structure, frustration with being woken up every hour or two to check your vital signs, or just plain old fatigue from being sick, you are not thinking as clearly as before you were admitted. And that’s all the justification we need to order anything from drug and toxin screens, to blood cultures, brain MRIs, tagged red blood cell nuclear scans, or cardiac Holter monitoring. There really is no limit to what we can pursue with our tests.”

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Another nurse reports that delay in diagnosing urinary tract infections (while patients are scheduled for brain MRIs, nuclear scans, and biopsies) can lead to worsening symptoms which accelerate and expand testing. “Some of my patients are transferred to the ICU during the altered mental status work up,” states nurse Anita Misra. “The doctors seem to be very excited about the additional technology available to them in the intensive care setting. Between the central line placement, arterial blood gasses, and vast array of IV fluid and medication options, urosepsis is really an excellent entré into a whole new level of care.”

“As far as medicine-induced mental status changes are concerned,” added Dr. Fishbinder, “We’ve never seen a single case in the past 10 years. Today’s patients are incredibly resilient and can tolerate mixes of opioids, anti-depressants, anti-histamines, and benzodiazepines without any difficulty. We know this because most patients have been prescribed these cocktails and have been taking them for years.”

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Dr. Fishbinder is in the process of creating a half-day seminar on ‘altered mental status in the inpatient setting,’ offering CME credits to physicians who enroll. Richmond Medical Hospital intends to sponsor Dr. Fishbinder’s course, and franchise it to other hospitals in the state, and ultimately nationally.


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