Publications by authors named "Vazula Bekkers"

Background: Severe keloids are difficult to treat. Corticosteroid injections with needles are painful and associated with frequent recurrences. Therefore, more effective, safe and patient-friendly alternative treatments are urgently needed.

View Article and Find Full Text PDF
Article Synopsis
  • Researchers looked at how different characteristics of keloids (which are thick, raised scars) can affect how well treatments work.
  • They found that factors like the age, size, location, and past treatment of keloids might change how effective treatments are.
  • The study highlighted that more research is needed to understand these factors better and create a better plan for treating keloids.
View Article and Find Full Text PDF
Article Synopsis
  • Intralesional corticosteroid injections, like triamcinolone acetonide (TAC), are commonly used to treat keloids but don't always work well.
  • Researchers studied how TAC spreads in keloids and normal skin using different methods, like needles and special jet injectors.
  • They found that the way TAC spreads was different in keloids compared to normal skin, which might explain why the treatment is sometimes not effective, and they want to do more research to improve how it's delivered.
View Article and Find Full Text PDF

Background: Keloids and hypertrophic scars can cause severe pain, pruritus, and psychological distress. Conventional intralesional corticosteroid treatment with needle injections remains challenging, especially in children with needle phobia.

Objective: We aimed to evaluate the effectiveness, tolerability, and patient satisfaction of intralesional treatment with triamcinolone acetonide using a needle-free electronic pneumatic jet injector in children with keloids and hypertrophic scars.

View Article and Find Full Text PDF

Objectives: The treatment of recalcitrant keloids is challenging. Although intralesional bleomycin using conventional needle injectors (CNI) is effective, it has important drawbacks, such as the need for repetitive and painful injections. Therefore, we aimed to evaluate the effectiveness, tolerability and patient satisfaction of intralesional bleomycin with lidocaine administered with a needle-free electronically-controlled pneumatic jet-injector (EPI) in recalcitrant keloids.

View Article and Find Full Text PDF

Needle-free jet injectors are used for the intralesional treatment of various dermatological indications. However, a systematic review that evaluates the efficacy and safety of these treatments has not been published. The objectives of this study are to evaluate the efficacy and safety of needle-free jet injections for dermatological indications and to provide evidence-based treatment recommendations.

View Article and Find Full Text PDF

Objectives: Needle-free jet injectors are frequently used in dermatological practice. Injection-generated small-droplet aerosols could be harmful upon inhalation when chemotherapeutics, like bleomycin, are used. Here, we aim to explore jet injector-induced small-droplet aerosol formation of bleomycin in relation to air ventilation and to provide safety measures for clinical practice.

View Article and Find Full Text PDF