Treating Scars in the Auricle Region

Watson, Deborah; Panuganti, Bharat

doi:10.1016/j.fsc.2016.08.006

Cited by 10 publications

(15 citation statements)

References 40 publications

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“…The pathologic processes underlying keloid formation have not been fully elucidated; therefore, effective targeted therapy is lacking and given its tendency to recur, management of the condition is therapeutically challenging . Many treatment options are available such as surgical excision, glucocorticoid injection, radiotherapy, and pressure therapy . These methods, alone or in combination, have yielded variable efficacy with high recurrence rates.…”

Section: Discussionmentioning

confidence: 99%

“…10 Many treatment options are available such as surgical excision, glucocorticoid injection, radiotherapy, and pressure therapy. 8,11 These methods, alone or in combination, have yielded variable efficacy with high recurrence rates. Surgical excision remains the most common treatment method for auricular keloids; though the early postoperative outcome is satisfactory, long-term recurrence rate is as high as 45-100%.…”

Section: Discussionmentioning

confidence: 99%

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A multimodal therapeutic approach improves the clinical outcome of auricular keloid patients

et al. 2019

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Objective We retrospectively studied the efficacy of personalized therapy with surgical resection plus prophylactic management of postsurgical auricular keloids by intralesional injection of betamethasone and local pressure therapy using magnets in patients with auricular keloids. Methods Surgical excision was performed in all patients, and surgical techniques including fusiform excision of the keloid scar, core excision of the keloid scar followed by flap repair, and scar graft were chosen. Results A total of 85 patients with 98 auricular keloids were eligible. Seventy‐two (74%) patients had primary auricular keloids, and 13 patients had recurrent keloids after surgical excision. Keloids, were located in the helix in 28 (32.9%) cases, in the earlobe in 45 (52.9%) cases, and in the entire auricle in 12 (14.1%) cases. The size of auricular keloids ranged from 10 to 35 mm. Surgical resection was uneventful in all cases. Twenty‐one (21.4%) patients received fusiform excision, 47 (47.9%) patients underwent core excision and flap repair, and 30 (30.6%) patients received skin grafts. The patients were followed up for median duration of 1 year (range: 12–24 months). The cure rate was 87.2%, and the recurrence rate was 12.8%. Conclusion A personalized surgical approach based on the characteristics of auricular keloids in each patient and a multimodal therapeutic regimen including surgical excision, glucocorticoid blockade, and intralesional injection of glucocorticoids and pressure therapy improve the cure rate and reduce the recurrence rate of auricular keloids.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A multimodal therapeutic approach improves the clinical outcome of auricular keloid patients

et al. 2019

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“…The anterior surface has a skin envelope ranging from 0.8 to 1.2 mm in thickness and is firmly connected to the perichondrium. The posterior skin is slightly more yielding due to a layer of fat between the cartilage and skin, providing the posterior surface with a cumulative 1.2 to 3.0 mm of tissue [10].…”

Section: Discussionmentioning

confidence: 99%

V-Y Advancement Flap: Aesthetic Reconstruction for Auriculotemporal Keloid Excision

Seo

Kwon

et al. 2017

Arch Aesthetic Plast Surg

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Keloid scars are commonly found on the ears. Treatment modalities include compression, intralesional steroid injection, and surgical excision with or without radiotherapy, depending on the size and location of the keloid scar. Excision may be a curative solution, but it always requires the immediate reconstruction of the excised defect. Herein, we report the case of a keloid scar located at the helical base of the auriculotemporal sulcus that was treated by excision and a V-Y temporal advancement flap.

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“…Keloid formation is one of the two types of aberrant wound healing, the other being hypertrophic scars. Aberrant wound healing can arise with derangements in any of the healing phases including the inflammatory, proliferative, and remodelling phases [1]. Normal wound healing requires a balanced deposition of extracellular matrix protein and its subsequent degradation.…”

Section: Introductionmentioning

confidence: 99%

Gangrenous Keloid of the Ear Pinna Following Intralesional Triamcinolone Injection: Proper Consent Is Essential

Roy

Adaikappan

Letchumanan

et al. 2019

SN Compr. Clin. Med.

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Keloid formation involving ears is commonly encountered in medical practice. There are variable treatment options with different outcomes particularly on recurrence. With treatment, there might be complications with varying severity. One of the commonest preferred treatment is intralesional steroid injection using triamcinolone acetonide (TCA). We encountered a complication of intralesional TCA injection when a patient who had an ear keloid developed gangrenous keloid involving the pinna after receiving a TCA injection that required surgical debridement. We believe such a complication has been underreported. We reviewed the literatures to highlight the complications following TCA injection of ear keloid.

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Treating Scars in the Auricle Region

Cited by 10 publications

References 40 publications

A multimodal therapeutic approach improves the clinical outcome of auricular keloid patients

A multimodal therapeutic approach improves the clinical outcome of auricular keloid patients

V-Y Advancement Flap: Aesthetic Reconstruction for Auriculotemporal Keloid Excision

Gangrenous Keloid of the Ear Pinna Following Intralesional Triamcinolone Injection: Proper Consent Is Essential

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