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Ear keloids: An innovative 3‐steps combined treatment
INTRODUCTION: An excessive proliferation of fibroblasts and collagen synthesis after an injury may lead to a benign fibrous tumor, known as keloid, which does not regress spontaneously. Earlobes are a very frequent site of onset, since after a trauma (i.e., piercing) keloids may develop either on th...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10605762/ https://www.ncbi.nlm.nih.gov/pubmed/38009040 http://dx.doi.org/10.1111/srt.13506 |
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author | Domenico, Piccolo Giuliana, Crisman Daniele, Bollero Bruno, Bovani Alessandro, Gennai Fabrizio, Melfa Matteo, Tretti Clementoni Claudio, Conforti |
author_facet | Domenico, Piccolo Giuliana, Crisman Daniele, Bollero Bruno, Bovani Alessandro, Gennai Fabrizio, Melfa Matteo, Tretti Clementoni Claudio, Conforti |
author_sort | Domenico, Piccolo |
collection | PubMed |
description | INTRODUCTION: An excessive proliferation of fibroblasts and collagen synthesis after an injury may lead to a benign fibrous tumor, known as keloid, which does not regress spontaneously. Earlobes are a very frequent site of onset, since after a trauma (i.e., piercing) keloids may develop either on the helix and on the anterior or posterior lobe, from a few months up to several years after the injury. OBJECTIVES: To report the effectiveness of a combined protocol of CO2 laser + Dye laser + a portable Blue LED Light medical device for Photobiomodulation Therapy (EmoLED®). METHODS: Fifty‐two patients with a total of 56 ear keloids have been treated in the same session with a single CO2 laser procedure + a pulsed Dye laser procedure with an adjunctive EmoLED® procedure for 3 up to 6 min. A monthly follow‐up has been performed with an adjunctive EmoLED® session in case of signs of inflammation. RESULTS: Among 56 treated keloids, 89.3% of them (50/56) did not recur during a follow‐up period (from 6 up to 24 months, mean 16.3 months) while six keloids recurred (6/56, 10.7%) with mild thickening of the scar, thus requiring further treatments. CONCLUSIONS: Even if an excellent outcome obtained by the synergistic effect of combined laser treatments has already been described (i.e., CO2 laser + Dye Laser), the present study showed the adjuvant procedure with EmoLED® can reduce significantly the risk of keloids recurrences. |
format | Online Article Text |
id | pubmed-10605762 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-106057622023-10-28 Ear keloids: An innovative 3‐steps combined treatment Domenico, Piccolo Giuliana, Crisman Daniele, Bollero Bruno, Bovani Alessandro, Gennai Fabrizio, Melfa Matteo, Tretti Clementoni Claudio, Conforti Skin Res Technol Original Articles INTRODUCTION: An excessive proliferation of fibroblasts and collagen synthesis after an injury may lead to a benign fibrous tumor, known as keloid, which does not regress spontaneously. Earlobes are a very frequent site of onset, since after a trauma (i.e., piercing) keloids may develop either on the helix and on the anterior or posterior lobe, from a few months up to several years after the injury. OBJECTIVES: To report the effectiveness of a combined protocol of CO2 laser + Dye laser + a portable Blue LED Light medical device for Photobiomodulation Therapy (EmoLED®). METHODS: Fifty‐two patients with a total of 56 ear keloids have been treated in the same session with a single CO2 laser procedure + a pulsed Dye laser procedure with an adjunctive EmoLED® procedure for 3 up to 6 min. A monthly follow‐up has been performed with an adjunctive EmoLED® session in case of signs of inflammation. RESULTS: Among 56 treated keloids, 89.3% of them (50/56) did not recur during a follow‐up period (from 6 up to 24 months, mean 16.3 months) while six keloids recurred (6/56, 10.7%) with mild thickening of the scar, thus requiring further treatments. CONCLUSIONS: Even if an excellent outcome obtained by the synergistic effect of combined laser treatments has already been described (i.e., CO2 laser + Dye Laser), the present study showed the adjuvant procedure with EmoLED® can reduce significantly the risk of keloids recurrences. John Wiley and Sons Inc. 2023-10-27 /pmc/articles/PMC10605762/ /pubmed/38009040 http://dx.doi.org/10.1111/srt.13506 Text en © 2023 The Authors. Skin Research and Technology published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Articles Domenico, Piccolo Giuliana, Crisman Daniele, Bollero Bruno, Bovani Alessandro, Gennai Fabrizio, Melfa Matteo, Tretti Clementoni Claudio, Conforti Ear keloids: An innovative 3‐steps combined treatment |
title | Ear keloids: An innovative 3‐steps combined treatment |
title_full | Ear keloids: An innovative 3‐steps combined treatment |
title_fullStr | Ear keloids: An innovative 3‐steps combined treatment |
title_full_unstemmed | Ear keloids: An innovative 3‐steps combined treatment |
title_short | Ear keloids: An innovative 3‐steps combined treatment |
title_sort | ear keloids: an innovative 3‐steps combined treatment |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10605762/ https://www.ncbi.nlm.nih.gov/pubmed/38009040 http://dx.doi.org/10.1111/srt.13506 |
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