Management of Ear Keloid with Ksharsutra: A Case Study

Authors: Bolkuntwar SS

DOI: 10.23880/jonam-16000464

Volume 9, Issue 4

Abstract

Keloids (benign growth) are one of the causes of psychosomatic disturbance in patients. It can develop after ear piercing, minor or major wounds, burns, and surgical interventions. The theory behind keloid formation is the imbalance between increased collagen and extracellular matrix synthesis and decreased degradation of these products. Inflammatory mediator transforming growth factor beta has been proposed to influence the dysregulation of collagen remodeling in the scar healing process. The term keloid, meaning ‘crab claw,’ was first coined by Alibert in 1806. According to Ayurveda, Keloid can be correlated with Arbuda or Vrangranthi. Clinicians have explored different remedies for keloid prevention and treatment, such as steroids, anti- inflammatories, and chemotherapeutic molecules to suppress keloid recurrence. Various treatment modalities like pressure therapy, cryotherapy and lasers, intralesional steroid therapy, radiation, laser therapy, and surgical excision are generally performed for keloids, but they are not so promising. It was always a challenge for a surgeon. The present paper presents an auricular keloid treated with Ksharsutra ligation. Considering the recurrence of keloid, ksharsutra ligation is supposed to be the best alternative procedure.

Keywords: Keloid; Ksharsutra; Arbuda; Vranagranthi

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