A multimodal therapeutic approach improves the clinical outcome of auricular keloid patients

International Journal of Dermatology
Yong-Hong HaoCheng-Xin Li

Abstract

We retrospectively studied the efficacy of personalized therapy with surgical resection plus prophylactic management of postsurgical auricular keloids by intralesional injection of betamethasone and local pressure therapy using magnets in patients with auricular keloids. Surgical excision was performed in all patients, and surgical techniques including fusiform excision of the keloid scar, core excision of the keloid scar followed by flap repair, and scar graft were chosen. A total of 85 patients with 98 auricular keloids were eligible. Seventy-two (74%) patients had primary auricular keloids, and 13 patients had recurrent keloids after surgical excision. Keloids, were located in the helix in 28 (32.9%) cases, in the earlobe in 45 (52.9%) cases, and in the entire auricle in 12 (14.1%) cases. The size of auricular keloids ranged from 10 to 35 mm. Surgical resection was uneventful in all cases. Twenty-one (21.4%) patients received fusiform excision, 47 (47.9%) patients underwent core excision and flap repair, and 30 (30.6%) patients received skin grafts. The patients were followed up for median duration of 1 year (range: 12-24 months). The cure rate was 87.2%, and the recurrence rate was 12.8%. A personalized surgical approach ba...Continue Reading

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Citations

May 21, 2020·Journal of Burn Care & Research : Official Publication of the American Burn Association·Xingtang NiuQing Tang
Jun 14, 2020·Dermatologic Therapy·Pablo Fernández-CrehuetFelipe Benitez-Camacho
Nov 7, 2020·Acta otorrinolaringológica española·Yasser MandourAhmed Elrefae

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