Tratamiento de cicatrices dolorosas con parche de lidocaína al 5 %: reporte de casos clínicos

• Autores: G. Correa-Illanes, G. Correa-Torres
• Localización: Revista de la Sociedad Española del Dolor (SED), ISSN 1134-8046, ISSN-e 2254-6189, Vol. 29, Nº. 3, 2022, págs. 187-191
• Idioma: español
• DOI: 10.20986/resed.2022.3997/2022
• Títulos paralelos:
  • Treatment of painful scars with 5 % lidocaine patch: clinical cases report
• Enlaces
  • Texto completo
• Resumen
  • español

    Las cicatrices pueden asociarse a dolor de gran intensidad, limitar la funcionalidad y afectar la calidad de vida de los pacientes. Además, las cicatrices dolorosas pueden asociarse a disestesias, hiperalgesia y alodinia. El parche de lidocaína al 5 % ha demostrado eficacia como tratamiento tópico para el alivio del dolor en cicatrices traumáticas o postquirúrgicas. En el presente trabajo se describen tres casos de pacientes con cicatrices dolorosas que fueron tratados exitosamente mediante parches de lidocaína al 5 %, una herramienta terapéutica indicada frecuentemente para el alivio del dolor neuropático.

  • English

    Scars can be associated with intense pain, limit patient functionality, and affect the quality of life of patients. In addition, painful scars can be associated to dysesthesias, hyperalgesia, and allodynia. The 5% lidocaine patch has shown efficacy as a topical treatment for pain relief in traumatic or post-surgical scars. In this paper, three cases of patients with painful scars who were successfully treated with 5% lidocaine patches, a therapeutic tool frequently indicated for the relief of neuropathic pain, are described.

• Referencias bibliográficas
  • Ogawa, R. (2022). The Most Current Algorithms for the Treatment and Prevention of Hypertrophic Scars and Keloids: A 2020 Update of the Algorithms...
  • Gold, MH,Berman, B,Clementoni, MT,Gauglitz, GG,Nahai, F,Murcia, C. (2014). Updated international clinical recommendations on scar management:...
  • Gold, MH,McGuire, M,Mustoe, TA,Pusic, A,Sachdev, M,Waibel, J. (2014). Updated international clinical recommendations on scar management: part...
  • Høimyr, H,von Sperling, ML,Rokkones, KA,Stubhaug, A,Finnerup, K,Jensen, TS. (2012). Persistent pain after surgery for cutaneous melanoma....
  • Bijlard, E,Uiterwaal, L,Kouwenberg, CA,Mureau, MA,Hovius, SE,Huygen, FJ. (2017). A Systematic Review on the Prevalence, Etiology, and Pathophysiology...
  • Maguire, MF,Ravenscroft, A,Beggs, D,Duffy, JP. (2006). A questionnaire study investigating the prevalence of the neuropathic component of...
  • Reddi, D,Curran, N. (2014). Chronic pain after surgery: pathophysiology, risk factors and prevention. Postgrad Med J. 90. 222
  • Dualé, C,Ouchchane, L,Schoeffler, P,Dubray, C. (2014). EDONIS Investigating Group Neuropathic aspects of persistent postsurgical pain: a French...
  • Kehlet, H,Jensen, TS,Woolf, CJ. (2006). Persistent postsurgical pain: risk factors and prevention. Lancet. 367. 1618
  • Gewandter, JS,Dworkin, RH,Turk, DC,Farrar, JT,Fillingim, RB,Gilron, I. (2021). Research design considerations for chronic pain prevention...
  • Fearmonti, RM,Bond, JE,Erdmann, D,Levin, LS,Pizzo, SV,Levinson, H. (2011). The modified Patient and Observer Scar Assessment Scale: a novel...
  • van de Kar, AL,Corion, LU,Smeulders, MJ,Draaijers, LJ,van der Horst, CM,van Zuijlen, PP. (2005). Reliable and feasible evaluation of linear...
  • Rodríguez Castillo, T,Sanguineti Montalva, A,Moreno Baeza, N,Carrillo Gonzalez, K,Hasbún Nazar, A,Lopez Nuñez, S. (2019). Adaptación transcultural...
  • Bouhassira, D,Attal, N,Alchaar, H,Boureau, F,Brochet, B,Bruxelle, J. (2005). Comparison of pain syndromes associated with nervous or somatic...
  • Perez, C,Galvez, R,Huelbes, S,Insausti, J,Bouhassira, D,Diaz, S. (2007). Validity and reliability of the Spanish version of the DN4 (Douleur...
  • Mick, G,Baron, R,Correa-Illanes, G,Hans, G,Mayoral, V,Frías, X. (2014). Is an easy and reliable diagnosis of localized neuropathic pain (LNP)...
  • Mayoral, V,Pérez-Hernández, C,Muro, I,Leal, A,Villoria, J,Esquivias, A. (2018). Diagnostic accuracy of an identification tool for localized...
  • Causeret, A,Lapègue, F,Bruneau, B,Dreano, T,Ropars, M,Guillin, R. (2019). Painful Traumatic Neuromas in Subcutaneous Fat: Visibility and Morphologic...
  • Laing, TA,Sierakowski, A,Elliot, D. (2017). Management of painful scar-tethered cutaneous nerves of the upper limb. Hand Surg Rehabil. 36....
  • Correa-Illanes, G,Roa, R,Piñeros, JL,Calderón, W. (2012). Use of 5 % lidocaine medicated plaster to treat localized neuropathic pain secondary...
  • Baron, R,Allegri, M,Correa-Illanes, G,Hans, G,Serpell, M,Mick, G. (2016). The 5% Lidocaine-Medicated Plaster: Its Inclusion in International...
  • Del Toro, D,Dedhia, R,Tollefson, TT. (2016). Advances in scar management: prevention and management of hypertrophic scars and keloids. Curr...
  • Mick, G,Correa-Illanes, G. (2012). Topical pain management with the 5% lidocaine medicated plaster--a review. Curr Med Res Opin. 28. 937
  • Hans, G,Joukes, E,Verhulst, J,Vercauteren, M. (2009). Management of neuropathic pain after surgical and non-surgical trauma with lidocaine...
  • Correa-Illanes, G,Calderón, W,Roa, R,Piñeros, JL,Dote, J,Medina, D. (2010). Treatment of localized post-traumatic neuropathic pain in scars...
  • de León-Casasola, OA,Mayoral, V. (2016). The topical 5% lidocaine medicated plaster in localized neuropathic pain: a reappraisal of the clinical...
  • Macedo, RDR,Santos, JPGD,Lobato, ES,Mendes, JP,Ikemoto, RY,Rodrigues, LMR. (2021). Application of 5% Lidocaine Adhesive Patch in Painful Surgical...
  • Schug, SA,Lavand'homme, P,Barke, A,Korwisi, B,Rief, W,Treede, RD. (2019). IASP Taskforce for the Classification of Chronic Pain The IASP...
  • (2022). WHO. International Statistical Classification of Diseases and Related Health Problems (ICD).