Abstract

AURICULAR KELOID EXCISION BY KSHARSUTRA LIGATION FOLLOWED BY AGNIKARMA-A CASE STUDY

Vd. Megha R. Kamble*, Vd. V. G. Dhakate

Abstract

Auricular keloid is a rare benign, dermal, non-contagious, fibroproliferative growth characterized by excessive formation of collagen, without any malignant potential. It has much more psychological impact on the patient due to cosmetic and aesthetic reason. Various treatment modalities like pressure therapy, intralesional steroid therapy, cryosurgery, radiation, laser therapy, surgical excision and superficial external beam radiotherapy (SRT), but it’s economically costly and not so much promising. It was always a challenge to a surgeon due to high relapse rate because of frequent invasion to adjacent normal dermis. So comparative to all this Ksharasutra and Agnikarma are the potential therapies mentioned in Ayurveda for such conditions which is cheap and have best result with minimum injury. Ksharsutra have property of incision, excision, debridement, scrapping along with aerostatic, antiseptic and healing, while use of Agnikarma after excision is considered to be effective in avoiding the relapse in conditions of benign outgrowths such as Auricular keloid. Present case of 32 years old female patient with chief compliant of growth on Left ear helix for two years is a successful example of Auricular keloid treated by Ksharasutra ligation followed by Agnikarma. For better further healing of wound Lekhan karma of granulation tissure was done by Triphala Churna and Jatyadi Ghruta Pratisaran was done.

Keywords: Auricular Keloid, Ksharsutra, Agnikarma, Triphala Churna, Jatyadi Ghruta.