OCCLUSIVE dressings significantly increase the efficacy of topical corticoids. For the nose and ears, production of such occlusion proves troublesome.
Recently a patient with discoid lupus erythematosis involving these areas found a solution to this problem. Her husband, a dentist, designed and built the device illustrated (Figure).
He made an impression of the nose and ears with an alginate material (Geltrate) from which a plaster positive was made. The final acrylic devices were molded on the plaster positive.
With this occlusion added at night to the nose and ears, a topical corticoid provided clearing which it had not done previously.
MAIBACH HI, FELDMAN RJ. Occlusive Dressing For the Nose and Ears. Arch Dermatol. 1966;93(4):465. doi:10.1001/archderm.1966.01600220077025
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