Steatocystoma Multiplex - Treatment

Treatment

The cysts can be moved via excision, though conventional cyst excision techniques have proven impractical, and a specialized regimen is required.

Medical treatments have been used with variable results to lessen inflammation, minimize scarring, and reduce the need for surgery.

Steatocystoma suppurativa: Treatment is indicated for this scarring inflammatory version of the disorder and involves antimicrobial therapy in combination with incision and drainage. The classic treatment is with the tetracycline class of antibiotics. Isotretinoin therapy has been effective in some patients; however, in others, it has caused the condition to flare. Recurrence following isotretinoin treatment has been reported.

Disfiguring lesions: The patient may require medical intervention for significantly deforming lesions when surgical approaches are impractical. Unfortunately, isotretinoin (despite its known effect of decreasing sebaceous gland activity) has shown inconsistent results. Flaring and recurrence following isotretinoin have been reported.

Cysts can be widespread and difficult to treat. A variety of surgical treatment options have been used in the treatment of steatocystoma multiplex.

Cryosurgery: Cryosurgery has been used in the past with limited success. Residual scarring limits this approach.

Aspiration: Simple aspiration with 18-gauge needle has been successful in minimizing scarring of facial lesions, although a high rate of recurrence has been observed. Variation of this method by insertion and gentle extirpation of cystic contents without removing the cyst wall has been shown to be successful, with no scarring and a low rate of recurrence. This technique is thought to be the treatment of choice in the management of facial lesions and those smaller than 1.5 cm in diameter. This approach may not be feasible with larger, more mature lesions with cyst contents of a more dense consistency.

Surgical excision: Traditionally, surgical excision is the most commonly mentioned method of treatment. Excisional surgery with elliptical excisions, flaps, or grafts is oftentimes impractical for widespread lesions and has fallen out of favor secondary to its time-consuming nature and the associated risk of scarring. Punch excision followed by cyst removal has been used in the past, with mixed results.

Incisional variants: Incisional variants of cyst removal have become the preferred methods of treatment. Mini-incisions of 1 mm with a No. 11 surgical blade followed by expression of cyst contents and excochleation of the cyst wall using a 1-mm curette resulted in minimal scarring and a low rate of recurrence. A modified surgical technique, used on more than 50 lesions, is sharp-tipped cautery followed by expression of cyst contents and forceps-assisted removal of the cyst wall. This technique resulted in minimal depressed scarring and slight hypopigmentation with no evidence of recurrence. Newer techniques with small incisions, 2-3 mm in length, followed by removal of the cyst wall with a phlebectomy hook resulted in satisfactory cosmesis, with no recurrence noted.

Carbon dioxide laser: Carbon dioxide laser ablation has allowed treatment of multiple lesions during a single treatment session, with no anesthesia, a low percentage of recurrence, and good aesthetic results.

Read more about this topic:  Steatocystoma Multiplex

Other articles related to "treatment, treatments":

HIV/AIDS In The United States - Disparities in Treatment
... of an individual greatly determine his or her access to HIV/AIDs treatment ... were more likely than African Americans to receive treatment, while the middle to upper classes were more likely to receive treatment than the poor ... strong efforts to remove obstacles that prevented equal access to HIV/AIDs treatment ...
Sleep Disorder - General Principles of Treatment
... Treatments for sleep disorders generally can be grouped into four categories Behavioral and psychotherapeutic treatment Rehabilitation and management Medication Other somatic treatment None of these general ... Rather, the choice of a specific treatment depends on the patient's diagnosis, medical and psychiatric history, and preferences, as well as the expertise ... Medications and somatic treatments may provide the most rapid symptomatic relief from some sleep disturbances ...
Polycystic Ovary Syndrome - Management
... Medical treatment of PCOS is tailored to the patient's goals ... categories Lowering of insulin levels Restoration of fertility Treatment of hirsutism or acne Restoration of regular menstruation, and prevention of endometrial hyperplasia and endometrial ... clinical trials comparing different treatments ...
Examples - Transphobia in Healthcare
... died of ovarian cancer after being refused treatment by more than two dozen doctors ... showing that refusal of treatment due to transphobia is not uncommon ... they backed away and stopped administering treatment ...
Cerebral Palsy - Treatment - Interpersonal Therapy - Occupational Therapy
... Parent counselling is also an important aspect of occupational therapy treatment with regard to optimizing the parent's skills in caring for and playing with their child to ...

Famous quotes containing the word treatment:

    I feel that any form of so called psychotherapy is strongly contraindicated for addicts.... The question “Why did you start using narcotics in the first place?” should never be asked. It is quite as irrelevant to treatment as it would be to ask a malarial patient why he went to a malarial area.
    William Burroughs (b. 1914)

    A regular council was held with the Indians, who had come in on their ponies, and speeches were made on both sides through an interpreter, quite in the described mode,—the Indians, as usual, having the advantage in point of truth and earnestness, and therefore of eloquence. The most prominent chief was named Little Crow. They were quite dissatisfied with the white man’s treatment of them, and probably have reason to be so.
    Henry David Thoreau (1817–1862)

    The motion picture made in Hollywood, if it is to create art at all, must do so within such strangling limitations of subject and treatment that it is a blind wonder it ever achieves any distinction beyond the purely mechanical slickness of a glass and chromium bathroom.
    Raymond Chandler (1888–1959)