Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Filter by Categories
Brief Report
Case Report
Editorial
Focus
Images/Instrument in Dermatology/Dermatosurgery
Innovations
Letter to the Editor
Living Legends
Looking back in history
Original Article
Perspective
Resident Forum
Review Article
Spot the Diagnosis
Tropical Dermatology
Visual Treats in Dermatology
Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Filter by Categories
Brief Report
Case Report
Editorial
Focus
Images/Instrument in Dermatology/Dermatosurgery
Innovations
Letter to the Editor
Living Legends
Looking back in history
Original Article
Perspective
Resident Forum
Review Article
Spot the Diagnosis
Tropical Dermatology
Visual Treats in Dermatology
Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Filter by Categories
Brief Report
Case Report
Editorial
Focus
Images/Instrument in Dermatology/Dermatosurgery
Innovations
Letter to the Editor
Living Legends
Looking back in history
Original Article
Perspective
Resident Forum
Review Article
Spot the Diagnosis
Tropical Dermatology
Visual Treats in Dermatology
View/Download PDF

Translate this page into:

Innovations
2023
:3;
70
doi:
10.25259/CSDM_70_2023

Tunneling technique for ease of intralesional injection in keloids

Department of Dermatology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India
Corresponding author: Rachita S. Dhurat, Department of Dermatology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India. rachitadhurat@yahoo.co.in
Licence
This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

How to cite this article: Bhangdiya DS, Dhurat RS, Sharma R. Tunneling technique for ease of intralesional injection in keloids. CosmoDerma 2023;3:70.

PROBLEM

Intralesional injections are the mainstay of the treatment for keloids. However, injecting through thick keloidal tissue is a challenge as a result of excessive proliferation of dermal fibroblasts and haphazardly arranged thick hyalinized collagen.

To overcome the difficulty of injection, clinicians use dermajet[1] to deliver intralesional drugs, although it is expensive and has deeper penetration. Another method of making keloid tissue soft is cryotherapy; however, it can give rise to bullae, ulceration, secondary infection, and dyspigmentation.[2]

SOLUTION

To soothe the process of injecting pharmacological agent into hard keloids, we propose that a 26G needle be inserted into keloid tissue and moved in a to and fro manner in different directions to create multiple tunnels. Thereafter, the intended drug is injected with ease owing to creation of these tunnels [Video 1]. A 26G needle was found to be suitable for tunneling [Figure 1].

Video 1:

Video 1:File demonstrating conventional injection technique followed by tunneling technique in keloid.
Tunneling in keloids with 26G needle and 1 mL syringe.
Figure 1:
Tunneling in keloids with 26G needle and 1 mL syringe.

This simple technique allows drug delivery into keloids with ease due to the tunnels created. On account of this, we have termed this technique as “tunneling technique.”

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent.

Conflicts of interest

There are no conflicts of interest.

Videos available online at

https://doi.org/10.25259/CSDM_70_2023

Financial support and sponsorship

Nil.

References

  1. , . Current trends in needle-free jet injection: An update. Clin Cosmet Investig Dermatol. 2018;11:231-8.
    [CrossRef] [PubMed] [Google Scholar]
  2. , , , . Keloids: Current and emerging therapies. Scars Burn Heal. 2020;6:2059513120940499.
    [CrossRef] [PubMed] [Google Scholar]

Fulltext Views
1,934

PDF downloads
551
View/Download PDF
Download Citations
BibTeX
RIS
Show Sections