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Intralesional triamcinolone acetonide injection in hypertrophic skin surrounding the percutaneous titanium implant of a bone-anchored hearing aid

Published online by Cambridge University Press:  05 February 2008

J B Van Rijswijk  and
E A M Mylanus
J B Van Rijswijk*
Affiliation:
Department of Otorhinolaryngology, Head & Neck Surgery and Facial Plastics, Van Weel-Bethesda Hospital, Dirksland, The Netherlands
E A M Mylanus
Affiliation:
Department of Otorhinolaryngology, Head & Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands
*
Address for correspondence: Dr Jeroen B van Rijswijk, ENT Surgeon, Stationsweg 22, 3247 BW Dirksland, The Netherlands. Fax: +31 18760 7129 E-mail: jeroen@vanryswyk.nl
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Abstract

Objective:

We present a patient with persistent hypertrophic skin surrounding the percutaneous implant of a bone-anchored hearing aid system, successfully treated with intralesional applied corticosteroids.

Method:

Case report and review of the world literature concerning bone-anchored hearing aid implantation and intralesional applied corticosteroids for the treatment of hypertrophic scars and keloids.

Results:

Eight weeks after revision surgery to reduce surplus skin and subcutaneous scar tissue overgrowing the abutment, skin and subcutaneous scar tissue overgrowth reoccurred. As an alternative to yet another surgical procedure, the hypertrophic skin was treated with intralesional injections of triamcinolone acetonide. Three weeks after the treatment, a satisfying result was seen, and no subsequent relapse was observed.

Conclusion:

To our knowledge, this is the first, photographically well documented case report of a patient with persistent hypertrophic skin surrounding a percutaneous bone-anchored hearing aid implant, successfully treated with intralesional applied corticosteroids.

Keywords

Bone Anchored Hearing AidsImplants and ProsthesesIntralesional InjectionsTriamcinolone
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 122 , Issue 12 , December 2008 , pp. 1368 - 1370
Copyright
Copyright © JLO (1984) Limited 2008

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