RESUMO
In June 2018, the hyaluronic acid chin augmentation was performed on a 24-year-old female patient in Xi′an Goose Pagoda Beauty Hospital. After surgery, the patient′s left half of the tongue became pale and turned to dark purple thereafter. The patient had pain and discomfort in tongue, accompanying with pharyngeal swallowing difficulty. It was speculated that the refluxed hyaluronic acid from submental artery to the left lingual artery. Hyaluronidase was immediately injected. The thrombolytic, vasodilatory, and prophylactic antibiotic treatment were assisted. After 8 days, the pain of tongue was significantly improved, and the color returned to normal.
RESUMO
BACKGROUND:Keloids are the result of abnormal post-traumatic skin restoration, which are characterized with overgrowth and progressive enlargement, invasion of adjacent normal skin tissue, extension beyond the scope of the original wound. Given the high recurrence, treatment with surgery alone is meaningless and, therefore, comprehensive treatment of surgery and other approaches is required. OBJECTIVE:To explore the clinical curative effect of local injection after timely removal of auricle keloid core. METHODS:Twenty patients with auricle keloid were enroled. After keloid core excision, the time interval within the incision scar tissue injection of fluorouracil or triamcinolone acetonide add lidocaine or monotherapy was gradualy lengthened, and if necessary the proper amount of compound betamethasone was added according to scar conditions. The injection dose was adjusted timely based on the regression of scar. The treatment effect was observed for 12 to 24 months. RESULTS AND CONCLUSION: Of 36 auricle keloids from 20 patients, the comprehensive treatment was effective in 1 keloid, and other 35 keloids were cured. The effective rate was 100%, the completely cured rate was 97.2% and the excelent rate was 2.8%. These findings indicate that minimaly invasive excision of keloid core and the epithelial flap coverage combined with 5-fluorouracil and corticosteroid injection is a safe and effective method to treat auricle keloids.