Combination Therapy of Submandibular Keloids Electrosection and Cryotherapy

I Gusti Ayu Risma Pramita*, Ketut Kwartantaya Winaya, I Gusti Nyoman Darmaputra, Ni Made Dwi Puspawati, Aditya Permana, and Nandya Putu Krisnaputri

Abstract

Introduction: Keloid is an excessive formation of scar tissue (proliferative growth) that appears on the skin that has been traumatized or over a surgical wound and is not in accordance with the severity of the trauma, cannot heal spontaneously, and can recur after excision. Treatment of keloids on the face is difficult and challenging and has consequences for aesthetics. Various types of combination therapy, such as electrosurgery (radiofrequency) followed by frozen surgery (cryotherapy) are recommended to reduce the risk of keloid recurrence. Case Illustration: A 15-year-old male came with the chief complaint of a lump on his face. at the location of the submandibular region found a solitary tumor, with firm boundaries, oval shape, skin color, a diameter of 1 cm, and a smooth and shiny surface. On palpation, the consistency is firm and immobile. On dermoscopy examination, a purple vascular structure was obtained, and arborizing vascular structures were seen. A clinical diagnosis of keloid was given. The treatment was given by radiofrequency electrosection and was followed by cryotherapy for lesions in the submandibular region. Discussion: The combination of radiofrequency and cryotherapy was considered in this case because the location of the keloid lesion was located on the facial area which could reduce the risk of bleeding and also from a cosmetic point of view of the patient. The combination of the 2 therapies also functions to reduce the possibility of recurrence in patients. Conclusion: Radiofrequency and cryotherapy measures show significant clinical improvement; the lesions shrink and soften.

Keywords

keloid; electrosection; cryotherapy; radiofrequency

Cite This Article

Pramita, I. G. A. R., Winaya, K. K., Darmaputra, I. G. N., Puspawati, N. M. D., Permana, A., Krisnaputri, N. P. (2023). Combination Therapy of Submandibular Keloids Electrosection and Cryotherapy. International Journal of Scientific Advances (IJSCIA), Volume 4| Issue 6: Nov-Dec 2023, Pages 787-789, URL: https://www.ijscia.com/wp-content/uploads/2023/11/Volume4-Issue6-Nov-Dec-No.510-787-789.pdf

Volume 4 | Issue 6: Nov-Dec 2023