Earlobe Reconstruction Using a Subcutaneous Island Pedicle Flap after Resection of “Earlobe Keloid”

Hatoko, Mitsuo; Kuwahara, Masamitsu; Shiba, Aiko; Tada, Hideyuki; Okazaki, Tadashi; Muramatsu, Tsutomu; Shirai, Toshihiko

doi:10.1111/j.1524-4725.1998.tb04145.x

Cited by 26 publications

(17 citation statements)

References 15 publications

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“…However, even though the size of the keloid may decrease with nonsurgical treatment alone for the cases of larger lesions, the results may not be cosmetically satisfactory. Various surgical methods such as excision followed by primary suture 14 , healing by secondary intention 15 , skin graft 16 or local flap 17 have been used. Yet surgical excision alone has shown varying degrees of success and perioperative nonsurgical therapies should be combined to prevent the inevitable recurrence after surgical excision.…”

Section: Introductionmentioning

confidence: 99%

Surgery and Perioperative Intralesional Corticosteroid Injection for Treating Earlobe Keloids: A Korean Experience

et al. 2009

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Background:The aesthetic implications of ear keloids, which affect people of all races, are serious and the treatment of earlobe keloids is known to be difficult. The high rate of recurrence following excision alone has led to investigating various types of adjuvant therapy, including intralesional corticosteroid injection. Objective: We evaluated the efficacy of excision combined with perioperative intralesional triamcinolone acetonide injection for treating earlobe keloids of Korean patients. Methods: From 1997 to 2006, eighteen keloids on the earlobes of fifteen Korean patients were treated. The patient age ranged from 15 to 32 years (mean age: 24 years). All the patients were female and the keloids occurred after ear piercing. Preoperative intralesional triamcinolone acetonide (TA) injection was administered twice at a 1-month interval. Postoperative intralesional TA injections were given every 1 month for several months, depending on the patient's clinical progress. Results: The follow-up period ranged from 4 to 42 months (mean: 18.5 months). After the surgery, TA intralesional injections were given 2 to 13 times (mean: 5.2 times). Of the treated keloids, eleven showed good results (61.1%) and three recurred (16.6%). No complications from the TA intralesional injection were observed. Conclusion: Among the various treatments for earlobe keloids, we suggest that excision with corticosteroid intralesional injection can be used as the first line therapy when considering its effect and economic advantage. (Ann Dermatol 21(3) 221∼225, 2009)

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Section: Introductionmentioning

confidence: 99%

Surgery and Perioperative Intralesional Corticosteroid Injection for Treating Earlobe Keloids: A Korean Experience

et al. 2009

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“…Patients with keloids often experience marked physical deformity, restricted range of motion, pain, pruritus and psychological problems . Different treatment modalities such as radiation, pressure therapy, cryotherapy, intralesional injections of steroids, interferon 5‐fluorouracil (5‐FU), topical silicone, http://PDL, excision followed by primary suture, healing by secondary intention,and skin flap and graft have been used for treatment of keloids. It has been suggested that fibroblasts derived from keloid and hypertrophic scar tissue produce increased amounts of collagen compared with normal fibroblasts, Thus, suppression of the overwhelming and uncontrolled fibroblast activity in keloids and hypertrophic scars may be essential in therapeutic approaches to these abnormal wound responses…”

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confidence: 99%

Comparison of the Efficacy of Intralesional Triamcinolone Acetonide and 5-Fluorouracil Tattooing for the Treatment of Keloids

Sadeghinia

2012

Dermatologic Surgery

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“…Primary suture an close the defect after excision of small keloids but keloids requiring surgical excision are usually large. [13][14][15][16][17] Simple suturing usually maintains tension in closure that promotes keloid recurrence and distorts the reconstructed earlobe. Shaving associated with cryosurgery seems to be a useful treatment for large keloids scars.…”

Section: Discussionmentioning

confidence: 99%

“…Use of a "keloid fillet flap" enables dissection of the keloid core leaving loose skin to effect closure while an island flap uses skin bordering the defect. 5,6 Decreased recurrence rates have been reported with excision in combination with other postoperative modalities such as radiotherapy, injected interferon (IFN) or corticosteroid therapy. Excisional surgery alone has been shown to yield a 45-100% recurrence rate.…”

Section: Introductionmentioning

confidence: 99%

Fillet flap method of ear keloid repair and its cosmetic outcome: our experience

Arif

M³

2017

Int Surg J

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Background: Formation of keloid after cosmetic or traditional ear piercing is a very distressing condition for the patient. Ear lobe keloid has been treated with excision followed by primary suture, healing by secondary intention, skin graft or local flap. Fillet flap technique has come up with good cosmetic result, late combined with other medications.Methods: 20 patients were treated by fillet flap technique. Included in the study were huge, sessile, recurrent keloids. Pedunculated and small (<1 cm) keloids were excluded.Results: All cases, except one flap survived completely with good primary healing. All patients were women and developed their lesions after cosmetic earlobe piercing. The lesions were unilateral in 16 (80%) patients and bilateral in four (20%) patients. After 1 year, major response was observed in fifteen cases (75%) and moderate response in four cases (20%); one case had a relapse 10 months after the surgery.Conclusions: Many methods of coverage of defect after surgical excision have been described but each has its own disadvantages. So, fillet flap technique covers the defect and gives very good cosmetic outcome.Fillet flap method of ear keloid repair and its cosmetic outcome: our experience

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Earlobe Reconstruction Using a Subcutaneous Island Pedicle Flap after Resection of “Earlobe Keloid”

Abstract: In the selected cases, use of the subcutaneous island pedicle flap is a viable method to be considered for reconstruction after resection of earlobe keloids.

Cited by 26 publications

References 15 publications

Surgery and Perioperative Intralesional Corticosteroid Injection for Treating Earlobe Keloids: A Korean Experience

Surgery and Perioperative Intralesional Corticosteroid Injection for Treating Earlobe Keloids: A Korean Experience

Comparison of the Efficacy of Intralesional Triamcinolone Acetonide and 5-Fluorouracil Tattooing for the Treatment of Keloids

Fillet flap method of ear keloid repair and its cosmetic outcome: our experience

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