Efficacy of custom-made pressure clips for ear keloid treatment after surgical excision

In Situ Cytokine Expression and Morphometric Evaluation of Total Collagen and Collagens Type I and Type III in Keloid Scars

“…Similar to our results, the literature shows that patients with keloid present an average age between 24 and 35.7 years [3, 38] and the appearance of these lesions occurs between 11 and 40 years [39]. It has been suggested that this age group is associated with hormonal changes, surgery, trauma [40], increased exposure to lesions by perforations, such as earrings/piercings [41], and also a higher recurrence during pregnancy [42].…”

Massive ear keloids: Natural history, evaluation of risk factors and recommendation for preventive measures – A retrospective case series

“…Tanaydin et al reported their data on utilization of pressure devices 6 as adjuvant treatment after surgical excision of ear keloids, concluding that “keloid scars did not recur in 70.5% of treated patients”. This success rate, however, corresponds to a recurrence rate of 29.5%, almost one in three patients.…”

“…Studies have indicated that almost all ear keloids and almost all other keloid lesions will relapse after surgery; hence, the need for adjuvant treatment has been emphasized by almost every author who has published on this topic. Adjuvant treatments in the form of post-operative steroid injections 5 , pressure devices 6 or even radiation therapy 7, 8 are often incorporated in management of ear keloids in order to counteract the fully expected keloid recurrence after surgery. However, despite the meticulous use of all available adjuvant treatments, a large number of patients will suffer from recurrent ear keloids and undergo second, third or fourth surgeries.…”

“…However, they do believe and I have shared plenty of patients to validate that ear keloids can be effectively removed in a sustainable, cosmetically acceptable way without necessarily (and in fact rarely) resorting to radiation therapy adjunctively. This sort of response is well-documented in the literature they just don't happen to be references this author cites: Triamcinolone after surgery as effective as radiation therapy (and both can be effective) at preventing recurrence 1 Pressure clips after surgery can prevent recurrence (this is technique used by my colleagues in Plastic Surgery to good effect) 2 There are countless other references of success using surgery with acceptable risk-benefit profiles.…”

“…Pressure clips after surgery can prevent recurrence (this is technique used by my colleagues in Plastic Surgery to good effect) 2 …”