Nose Lesion

called you about 2-3 weeks ago about the following: one lesion (BCC) that looks like a beetle on the side of my nostril next to its opening, 1/2 inch dia.; the other very near my ear canal, centered on the ridge (Crus of Helix) that ends closest to the canal, with a raw spot on the ridge, spread out and inflamed  (mottled in pinks) over a half inch around that spot. After thinking about Curaderm's use requirements, until I am certain as to the following, I want to hold off on ordering :   (1). My limited view of my ear, regardless, prevents certainty about applying just enough to just the site, and applying Micropore properly.    (2). Micropore so far grips long enough just inside my nostril, but sneezing or sniffles seems to loosen it. Comment?   (3). (a). I haven't figured out how to get Micropore to conform and stick to my nose w/o leaving what may be air  under it , or avoiding pushing Curaderm off the lesion in trying to keep air  out and the tape to stick.  Comment?   (b). may try to find something like  a honeycomb mesh to hold Curaderm between the lesion and tape  while achieving conformation and adhesion: a mesh with thin-walled cells.  Comment?    (4) (a). Inasmuch as exfoliation  has to occur, and the site has to be "clean", it would seem apt to soften the layer of dead cells and earlier Curaderm, if necessary, and then to rub that layer repeatedly until that layer comes off, i.e., in order for Curaderm to act directly on living tissue and especially if the process  as is fast as up to ten times a day. Comment?   (b). Is it the case that the long narrow tip of the Curaderm bottle is meant to squeeze Curaderm under the edges of a nearly exfoliating layer.

Comments:

Thank you for your mail. Your questions, I shall try to answer them as best I can.

1. It is difficult for micropore to stick on wet surfaces so perhaps we should increase the number of times the dressings are changed per day ie. 3 to 4 times a day instead of just 1 or 2 times a day so that when the dressings come off we can then clean the lesion and apply a new one. This will also speed up the healing process.
2. In applying the dressing squeeze the tape from the middle outwards so that air bubbles are squeezed out and not trapped inside. In any case so long as the tape sticks we should not worry too much about air bubbles.
3. I agree with your idea of using a honeycomb mesh to hold the cream in place.
4. I think that we should leave dead skin or tissue alone if it is still firmly attached for it will come off eventually once the new tissue starts growing underneath it. Tagging dead tissue off also injures growing new tissue.
5. The narrow tip of the Curaderm bottle is just so that it is easy to apply the cream only on the lesion and not on normal healthy tissue.

I hope these have been of some help.

Edward Tambisari

Comments

[Doug Palmer]

Maybe I missed it, but what will happen if curaderm is put on normal skin?