Adjuvant Radiation of Bilateral Postauricular Keloids: An Illustration of Technique

Huhn, J.L.; Johnson, E. L.; Clair, William St

doi:10.1016/j.meddos.2007.02.009

Cited by 3 publications

(2 citation statements)

References 17 publications

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“…Furthermore, the compression that is required for handling and radiating newly operated areas often is not well tolerated or may lead to damage to the areas that have been recently sutured. Huhne et al 9 demonstrated a technique for postoperative radiotherapy that maintains the anatomical position of the ear, thus minimizing handling of the wound while maximizing the radiation dose to the target area. The external auditory canal is protected with a cotton ball and a lead shield, and the shell is filled with a moldable material (bolus Supertuff ® ), thereby creating a flat and uniform level for the helix and tragus.…”

Section: Discussionmentioning

confidence: 99%

Treatment of retroauricular keloids: Revision of cases treated at the ENT service of HC/UFPR

Carvalho¹,

Ballin

Becker

et al. 2012

Int Arch Otorhinolaryngol

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Summary Introduction: Keloids are benign tumors arising from abnormal healing of the skin, and there are several procedures available for their treatment. Objective: The objective of this study was to evaluate the outcomes of patients undergoing treatment of keloids after ear, nose, and throat (ENT) surgeries at our service center. Method: We conducted thorough, retrospective and prospective analysis of records of patients undergoing treatment of retroauricular keloids at our center. Results: Nine patients were evaluated, and 6 underwent resection and adjuvant beta-therapy, 2 underwent resection with local application of corticosteroids, and only 1 underwent resection without adjuvant therapy. There was no recurrence of keloids in patients that were treated with beta-therapy in the early postoperative period. One patient had relapsed despite corticosteroid administration and late beta-therapy. Discussion: Several techniques have been used for the treatment of retroauricular keloids, and beta-therapy is thought to yield the best results, followed by the use of intralesional corticosteroids. Conclusion: Treatment of retroauricular keloids remains a challenge. While new techniques are being developed, resection followed by early beta-therapy is still the best treatment option.

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Section: Discussionmentioning

confidence: 99%

Treatment of retroauricular keloids: Revision of cases treated at the ENT service of HC/UFPR

Carvalho¹,

Ballin

Becker

et al. 2012

Int Arch Otorhinolaryngol

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“…Radiotherapy following surgical excision of a keloid is a treatment modality widely used to prevent regrowth of the tissue, and the radiation has been delivered using various techniques, doses, and fractions, including external-beam radiotherapy with electrons, low-or high-dose-rate brachytherapy, or Sr-90 brachytherapy. [2][3][4][5][6] TomoDirect (TD) is a static delivery mode of TomoTherapy (Accuray, Sunnyvale, CA, USA), allowing for the use of a fixed gantry angle in place of rotational beam delivery. Described in the present report is the first instance of TD postoperative radiotherapy of keloid scar.…”

Section: Introductionmentioning

confidence: 99%

Dosimetric Results of Postoperative Tomodirect Radiotherapy of Keloid on Ear Cartilage

Teke¹

2016

TJ Oncol

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In radiotherapy following surgical excision of a keloid, radiation has been delivered using various techniques, doses, and fractions. TomoDirect (TD) is a static delivery mode of TomoTherapy (Accuray, Sunnyvale, CA, USA), allowing for the use of a fixed gantry angle in place of rotational beam delivery. Described in the present report is the first instance of TD used for postoperative radiotherapy of keloid scar. A 21-year-old woman presented with keloid scar that had developed and gradually progressed on the left ear cartilage following a piercing 2 years prior. The patient underwent TD radiotherapy with 2 tangential beams 33 hours after excision. Dose to planning target volume (PTV) was 15 Gy in 3 fractions of 5.0 Gy daily, every other day, and V95 was 100%. Mean dose of left parotid was 0.21 Gy, and maximum doses of brain and left lens were 0.34 Gy and 0.02 Gy, respectively. Optimal dose and technique for safe and effective postoperative keloid radiation therapy are unclear and depend upon keloid area and size. Treatment of keloid on ear or other sites with TD radiotherapy may be an optimal strategy.

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Postauricular Masses

Taşlı

Gökgöz

Karakoç

2020

Journal of Craniofacial Surgery

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Objective: The postauricular region (PR) is an anatomic area that has been neglected until now, due to the fact that the significant cosmetic changes and features of this region are often overlooked. There are limited and inconsistent data about postauricular masses in the literature and the definition of the PR and its borders remain unclear. The aim of the present study was to define the PR and evaluate benign and malignant masses that may arise in the PR. Methods: Fifty-two patients were enrolled in the study. The patients were evaluated retrospectively in terms of demographic data, including age, gender, operative method, lesion side and size, diagnostic tools, and histopathologic diagnosis of the masses. Results: The masses were categorized into 4 groups according to the etiology; neoplastic (n: 15, 28.8%), inflammatory (n: 13, 25%), congenital (n: 22, 42.3%) and traumatic (n: 2, 3.8%). Of the neoplastic masses, 6 (11.5%) were nonmelanoma skin cancer, comprising 4 (7.6%) basal cell carcinomas and 2 (3.8%) squamous cell carcinomas. A total of 9 (17.3%) neoplastic masses were benign, comprising 3 (5.7%) lipomas, 3 (5.7%) temporal bone osteomas, 2 (3.8%) nevi, and 1 (1.9%) plexiform neurofibroma. Of the 13 (25%) inflammatory masses, 12 (23%) were lymph nodes and 1 (1.9%) was pilonidal sinus. There were 22 (42.3%) congenital masses comprising 15 (28.8%) epidermal cysts, 4 (7.6%) dermoid cysts, and 3 (5.7%) hemangiomas. The 2 (3.8%) patients with traumatic lesion were both keloid patients. Conclusion: The PR does not attract attention from the cosmetic point of view but many benign and malignant masses can be found in this region. Any masses detected in this area should be treated to prevent further growth.

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Adjuvant Radiation of Bilateral Postauricular Keloids: An Illustration of Technique

Cited by 3 publications

References 17 publications

Treatment of retroauricular keloids: Revision of cases treated at the ENT service of HC/UFPR

Treatment of retroauricular keloids: Revision of cases treated at the ENT service of HC/UFPR

Dosimetric Results of Postoperative Tomodirect Radiotherapy of Keloid on Ear Cartilage

Postauricular Masses

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