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

Seo, Bommie Florence; Ko, Hyo Sun; Kwon, Ho; Jung, Sung-No

doi:10.14730/aaps.2017.23.3.164

Cited by 3 publications

(2 citation statements)

References 14 publications

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“…Therefore, the treatment of choice has not been established, although several options are recommended. Historically, surgical excision has been considered the mainstay of keloid treatment [24]. Keloids tend to recur even after total surgical resection.…”

Section: Discussionmentioning

confidence: 99%

Umbilical trocar port site keloid management using a transposition flap after laparoscopic surgery

Kwon

Kim

Choi

et al. 2021

Arch Aesthetic Plast Surg

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Background Keloids can occur anywhere in the human body. They are difficult to remove and can cause distress in patients. Although many options are available to treat keloids, no single method is considered the optimal treatment of choice. The authors encountered cases where an umbilical keloid developed at the trocar site after laparoscopic surgery and managed the keloid using a transposition flap.Methods A total of 10 umbilical keloid patients treated from 2013 to 2020 were included in this study. All patients developed a keloid due to the placement of a laparoscopic trocar incision port, and their major complaints varied from an asymptomatic nodule to pruritus or pain. All excisions were performed under local anesthesia, and transposition flaps were planned afterward. The surrounding tissue was rearranged so that the shape of the umbilicus was deformed to the minimum extent possible. The keloid scars were examined both preoperatively and 6 months postoperatively using the Patient and Observer Scar Assessment Scale (POSAS).Results All surgical wounds healed well without complications. The average time interval from laparoscopic surgery to keloid scar revision was 4.3 years. The mean postoperative follow-up period was 10.9 months, and no patient underwent reoperation. Four patients were treated with triamcinolone after surgery due to mild hypertrophy or pruritus. The POSAS observer scale showed significantly decreasing scores over time in all patients (P=0.002).Conclusions Cosmetically unfavorable keloids that form in the umbilicus following laparoscopic surgery can be improved with a simple procedure using excision and transposition flaps.

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Section: Discussionmentioning

confidence: 99%

Umbilical trocar port site keloid management using a transposition flap after laparoscopic surgery

Kwon

Kim

Choi

et al. 2021

Arch Aesthetic Plast Surg

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“…Keloid scars can cause pain or pruritus, disturb the range of motion, diminish sensation, or cause aesthetic deformities that may lead to significant psychosocial distress [1]. They are raised, firm, frequently pruritic and painful pathological scars characterized histologically by an overwhelming aggregation of fibroblasts and collagen type I within the inflammatory reticular dermis [2].…”

Section: Introductionmentioning

confidence: 99%

Case series of keloid wedge resection in the ear: a focus on aesthetic aspects

Yoon¹,

Song²,

Choi³

2022

Arch Aesthetic Plast Surg

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Keloid scars may cause a range of symptoms and aesthetic problems. The ear is one of the most frequent sites of keloids, and the earlobe and ear helix account for more than 80% of ear keloids. There are various surgical methods for removing keloids in the ear. Standard keloidectomy and core excision can be effective surgical methods compared to wedge resection since they preserve normal tissue surrounding the keloid. However, ears often show various types of asymmetry by default, which can be relatively difficult to detect, so wedge resection continues to be a useful surgical method for ear keloids. Here, we report four cases of keloids in the earlobe and ear helix that were successfully treated by wedge resection without a postoperative deformity or recurrence.

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Post-inguinal herniotomy keloid in pediatric age groups – A case report with review of the literature

Narahari,

Vepakomma

2024

Journal of Dr. YSR University of Health Sciences

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Abnormal wound healing causes keloid formation. Keloids are the most challenging conditions for the surgeons and dermatologists despite their high prevalence. Keloids are often symptomatic and can have a cosmetic nuisance as well as significant psychosocial burden for the patient. Although multiple treatment modalities exist, no single treatment has proven widely effective. In fact, recurrence following treatment is generally the normal. Combination therapy is likely the optimal strategy. In this case report, we highlight the clinical features of post-herniotomy keloid in children, pathophysiology, and management of keloids.

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

Cited by 3 publications

References 14 publications

Umbilical trocar port site keloid management using a transposition flap after laparoscopic surgery

Umbilical trocar port site keloid management using a transposition flap after laparoscopic surgery

Case series of keloid wedge resection in the ear: a focus on aesthetic aspects

Post-inguinal herniotomy keloid in pediatric age groups – A case report with review of the literature

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