Giant relapsing earlobe keloid – Successful combined treatment by surgery and pressure earring

Abstract

Keloids of the earlobe are frequent. The effective treatment remains a challenge. Intralesional injections, topical corticosteroids, cryotherapy, radiotherapy, laser therapy, and pressure dressings represent some treatment options. To demonstrate the effectiveness of positive pressure dressings after surgical excision to prevent recurrence of earlobe keloid. 2 weeks after surgical excision, the patient was instructed to wear pressure earrings. The dressing was worn for at least 12 h a day during 6 months. The patient was followed 3 years after the surgery. There was no recurrence of the earlobe keloid. Pressure earring was effective for prevention of relapsing keloid scar after surgical removal.

Surgical Core Excision With Tongue Flap Closure in Combination With Electron Beam Radiotherapy in the Treatment of Ear Keloids

“…37 Pressure clips prevent ear keloid recurrence by applying pressure to the border of the scar to avoid an increase in the size, thickness, and expansion of the keloid. 38,39 A pressure of $24 mmHg can degrade collagen by creating a hypoxic environment in the keloid tissue. 40 After surgical excision, radiotherapy, and pressure clips, 37 patients (90.2%) showed no recurrence during the follow-up period and were satisfied with the results.…”

“…Pressure clips prevent ear keloid recurrence by applying pressure to the border of the scar to avoid an increase in the size, thickness, and expansion of the keloid. 38,39 A pressure of ≥24 mmHg can degrade collagen by creating a hypoxic environment in the keloid tissue. 40…”