Clinical Characteristics of Auricular Keloids Treated with Surgical Excision

Abstract

Background and ObjectivesDifferences in morphology of auricular keloids possibly contribute to distinct results of treatment. The aim of this study was to evaluate clinical characteristics of the auricular keloids according to the modified Chang-Park classification and to compare the results of treatment including recurrence rate between the subgroups.Subjects and MethodsClinical data of 15 patients of auricular keloids were retrospectively reviewed. The keloids were classified according to modified Chang-Park classification. Clinical characteristics, the presence of recurrence, and the duration required for the recurrence were compared.ResultsEight out of 15 patients (53.3%) were single sessile type (type II), followed by 4 patients of pedunculated type, 1 patient of multiple sessile type, 1 patient of buried type, and 1 patient of mixed type, respectively. Recurrent keloids after previous surgeries were noted in 7 out of 15 patients and most of them (6 of 7, 85.7%) were sessile type. Three patients who underwent surgery at our department showed recurrence.ConclusionsThe classification of auricular keloids according to morphologic patterns can assist surgeons in choosing the appropriate management.

Long-Term Results of Fibrous Dysplasia of the Paranasal Sinuses

“…Traditionally, auricular keloids less than 1.5 cm in diameter have been completely excised followed by primary wound closure 6. In one study, larger keloids were subjected to wedge excision,7 but recurred in 61.53% of patients 8.…”

Queloides auriculares: una nueva opción de tratamiento

“…La escisión quirúrgica de un queloide solo está asociada con una alta tasa de recidiva, y por lo tanto, debe combinarse con terapia adyuvante. 11 La escisión con láser de CO2 también se utilizó previamente, tiene un porcentaje muy similar de recidiva de 50% si se compara con una escisión simple. Lo que se está utilizando es la combinación del láser CO2 con otras modalidades como lo veremos en nuestros casos.…”