JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2015, Vol. 29 ›› Issue (1): 19-23.doi: 10.6040/j.issn.1673-3770.0.2014.226

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Different methods to treat auricular keloids (35 cases report)

SONG Sheng-hua, ZHAO Wei, JIANG Jin-qin, ZHAO Meng-ying   

  1. Department of Otorhinolaryngology, Rehabilitation Hospital of Jingmen, Jingmen 448000, Hubei, China
  • Received:2014-07-03 Online:2015-02-16 Published:2015-02-16

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Abstract: Objective To investigate the effectiveness of different methods to treat auricular keloids. Methods After the auricular keloids were sharply dissected, the epidermides at pedicle were reserved as much as possible when the keloids were soft. Then, the skin defects were sutured directly or repaired with sliding flap, rotation flap or free skin graft according to their locations and shapes. Triamcinolone 20-40 mg was injected in some patients. Radiotherapy was performed in 5 cases one to three days after the surgery. Result After 1-9 years follow-up, 29 cases(82.9%) showed completely free of lesion. An auricular lobule was pulled back with angel formed after surgery, however, no lesion was noted. There were another 3 cases(8.6%) of moderate improvement and 3 cases(8.6%) of recurrence. Conclusion After excising auricular keloids, skin defects can be sutured directly or repaired with sliding flap, rotation flap or free skin graft according to their locations and shapes. Triamcinolone, delicate suture, postoperative anti-infection and immediate radiotherapy help reduce the recurrence.

Key words: Auricle, Keloid, Surgical procedures

CLC Number: 

  • R619.6
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