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A retrospective analysis of surgical resection of large ear keloids.
Australasian Journal of Dermatology 2019 Februrary
OBJECTIVE: To investigate surgical methods for the removal of larger ear keloids.
METHODS: Two different surgical techniques were used: Method A, tumour excision followed by in situ scar flap repair; and Method B, wedge resection of an auricular lesion followed by primary closure or local flap repair. After the treatment, patients received postoperative, local radiotherapy. Follow-up was for 1-3 years (median 28.9 months).
RESULTS: Twenty patients with 35 large ear keloids were reviewed. In Method A, six ears were cured, three ears improved, five ears relapsed after 1 year and one ear recurred within 1 year. In Method B, 17 ears were cured, two ears improved and one ear recurred within 1 year.
CONCLUSION: Keloid scars can be effectively treated with a combination of radiotherapy and surgical excision.
METHODS: Two different surgical techniques were used: Method A, tumour excision followed by in situ scar flap repair; and Method B, wedge resection of an auricular lesion followed by primary closure or local flap repair. After the treatment, patients received postoperative, local radiotherapy. Follow-up was for 1-3 years (median 28.9 months).
RESULTS: Twenty patients with 35 large ear keloids were reviewed. In Method A, six ears were cured, three ears improved, five ears relapsed after 1 year and one ear recurred within 1 year. In Method B, 17 ears were cured, two ears improved and one ear recurred within 1 year.
CONCLUSION: Keloid scars can be effectively treated with a combination of radiotherapy and surgical excision.
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