Abstract:
Under certain conditions, skin damage may be accompanied by a complication in the
form of hypertrophic scars, keloids. A significant role in the pathogenesis of the development
of keloids is attributed to immune mechanisms, neuro-endocrine disorders, hereditary factors.
The most effective way to treat keloid scars is still surgical. At the same time, simple excision
of keloid stimulates additional collagen synthesis, increases the risk of relapse. Traditionally
used steroid drugs, metered pressure, X-rays and radiotherapy. However, these methods can
lead to undesirable consequences, which justifies the search for new, less aggressive methods.
To increase the effectiveness of treatment of keloids of the earlobe using a new medical
complex consisting of cryotherapy, a course of injections of the drug based on hyaluronidase
and a course of drawing of sulphide-peloid extracts. A study of the state of keloid scar after
cryodestruction and subsequent use of the drug based on hyaluronidase was carried out in 14
people. The cryoexposure was carried out by the two-cycle method with an exposure time of 30 to 90 s. To increase the efficiency and improve the performance in the complex treatment,
a spinner made of silt-sulfide peloids was used, whose components stimulate collagen
resorption by fibroclasts. As a result of treatment, all patients showed a significant
improvement: subsidence of paresthesia, itching, leveling the height of keloid in relation to
unchanged skin. Findings. The results obtained allow us to recommend the proposed method
for the introduction into the practice of cosmetologists and otorhinolaryngologists.
