Artikel
A giant auricular keloid
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Veröffentlicht: | 26. März 2015 |
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Gliederung
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Introduction: Keloid is an excess growth of a scar which is due to excess fibrous tissue formation at the site of a prior wound. Some individuals are prone to develop thick and massive scars at the site of any injury to their skin. Earlobes are very common places for keloid formation and almost always due to piercing of the earlobes. We are not sure why some people are prone to develop earlobe keloids.
Method: Below are images of an earlobe keloid, which was frozen twice, however, this particular keloid remained resistant to cryotherapy. We ended up removing this keloid surgically. Earlobe keloids can very in size and location. Some keloids are limited to only on side of the earlobe, while other keloids can be complex and destroy the whole earlobe as depicted below. This one was big diameter 3–4 cm, with a very difficult extent both sizes of the earlobe. Treatment of earlobe keloids depends size and thickness and relationship to the earlobe itself. We did one step surgery, complete keloid removement, and reconstruction of the earlobe. Two weeks later we performed three triamcinolone injections, interval between was 21 days.
Results: We got good results in treating the main pathology, as well in keeping the shape and natural form of the auricula. One year follow-up the patient was free disease, no recurrence.
Conclusions: Surgery,preceded and followed by steroid injections is associated with a lower risk of recurrence. In deciding on surgery, one has to consider the family history of the patient, as well as presence of keloids in other parts of body. Patient with strong family history of keloids, and those with other keloids run very high risk of recurrence of keloid after surgery.
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