PMC10010577_01
(a) Keloids present on the right ear and (b) keloids present on the left ear
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F1
Within 6 months of piercing, the patient noticed a small nodule formation in left piercing and subsequently in right which had increased in size since then [Figure 1].
(a-d) Approximate size of the keloid
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F2
The swelling present with respect to inferior aspect of helix of right ear was approximately 0.3 inches and swelling on the superior aspect of left ear was measured approximately around 0.1 inches [Figure 2].
(a) Plastic sleeve, (B) impression making, (c) impression, and (d) final cast
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F3
To confine the impression material, a circular plastic sleeve was customized [Figure 3(a)]. Sleeve was seated onto the ear and desired extensions were checked [Figure 3]. Irreversible hydrocolloid impression material was used to make the impression [Figure 3(b)]. Impression was retrieved after setting [Figure 3(c)] and it was poured in dental stone (Kalstone, Kalabhai Mumbai, India) to obtain the final cast of both the ears [Figure 3(d)].
(a-c) Block out on the final cast and (d) finished and polished appliance
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F4
Block out of the desired undercut was done with type 3 modelling wax [Figure 4(a)-(c)]. The appliances were finished, polished, and adjusted to remove any sore spots [Figure 4(d)].
(a-d) Postoperative views
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F5
These were delivered and the patient was instructed to use them all the time [Figure 5(a)-(c)].