Keloid steroid injections before and after

Keloids are an important medical problem which are often under appreciated by the medical community. Dr. Michael Tirgan has spent many years evaluating and treating patients with keloids on different regions of the body. The Atlas of Ear Keloids presents new insights into the natural history of keloids and provides a perspective that many of the standard surgical approaches may actually lead to progression of these tumors on ear. He presents good examples of an alternative treatment with cryotherapy that has convincingly eliminated some of the most troublesome keloids on ear. This book will provide valuable information to patients with keloids on ear and to medical professionals that treat these lesions.

Steven H. Dayan, MD, is a facial plastic surgeon based in Chicago, where he founded and serves as a medical director for a skin care center (True Skin Care), a state-accredited educational center for estheticians. He also is founder and medical director for a DeNova Research. Dr. Dayan is board certified in otolaryngology and a member of the American Academy of Facial Plastic and Reconstructive Surgery. He is also a clinical assistant professor at the University of Illinois, and participates in laboratory and clinical research in minimally invasive medical procedures and plastic surgery. He serves on the editorial board of the Facial Plastic Surgery Journal and has written and published extensively in the field. A graduate of Washington University in St. Louis, Dr. Dayan attended the University of Illinois Medical School. He completed a residency at the University of Illinois and a facial plastic surgery fellowship.

Keloids were described by Egyptian surgeons around 1700 BCE, recorded in the Smith papyrus, regarding surgical techniques. [ citation needed ] Baron Jean-Louis Alibert (1768–1837) identified the keloid as an entity in 1806. [ citation needed ] He called them cancroïde , later changing the name to chéloïde to avoid confusion with cancer. The word is derived from the Greek χηλή , chele , meaning " hoof ", here in the sense of "crab pincers ", and the suffix -oid , meaning "like".

As others have noted, effective treatment of keloids can be very difficult.  The reason for this is that keloids are an abnormal response to injury, and area of scar tissue that grows beyond its natural boundaries.  On examination of a piece of Keloid tissue under a microscope, it looks substantially different than the average scar.  The initial phase of treatment is to slow the inflammation, ergo the use of several spaced injections.  The next option is to excise the scar surgically (50% recurrence rate) or to treat with radiation.  After excision, the area can be radiated and/or re-injected with steroid. Some Surgeons advocate placement of topical mitomycin and/or topical 5 flurouracil at the time of excision. Despite all of these options, keloids can and do recur.

Keloid steroid injections before and after

keloid steroid injections before and after

As others have noted, effective treatment of keloids can be very difficult.  The reason for this is that keloids are an abnormal response to injury, and area of scar tissue that grows beyond its natural boundaries.  On examination of a piece of Keloid tissue under a microscope, it looks substantially different than the average scar.  The initial phase of treatment is to slow the inflammation, ergo the use of several spaced injections.  The next option is to excise the scar surgically (50% recurrence rate) or to treat with radiation.  After excision, the area can be radiated and/or re-injected with steroid. Some Surgeons advocate placement of topical mitomycin and/or topical 5 flurouracil at the time of excision. Despite all of these options, keloids can and do recur.

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