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

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

Read more »

How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

Read more »

See all interviews »

Latest Cartoon

See all cartoons »

Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

Read more »

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 »

See all book reviews »