Treatment of an ear keloid refractory to intralesional triamcinolone injection monotherapy with fractional CO<sub>2</sub> laser and triamcinolone combination therapy: a case report
Bibliographic record
Abstract
Keloid is a benign fibroproliferative disorder characterized by excessive collagen production during abnormal wound healing in keloid-prone individuals.Therefore, the treatment of keloid aims to reduce inflammation and reorganize collagen bundles.Intralesional corticosteroid injection, particularly triamcinolone, is a common first-line treatment, but injections can be difficult in very firm lesions.This case report presents a refractory ear keloid treated with a combination therapy of fractional ablative CO 2 laser and intralesional triamcinolone injection.The patient had a persistent keloid mass in her left ear despite previous intralesional corticosteroid injections.The ear keloid was treated with the combination therapy of fractional CO 2 laser and triamcinolone injection.The keloid size was reduced by more than 50%, and the Vancouver Scar Scale score improved.Combined fractional CO 2 laser and triamcinolone injections may have a synergistic effect on drug delivery in addition to each keloid improvement.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".