Eradication of Large Auricular Keloids by Excision, Skin Grafting, and Intradermal Injection of Triamcinolone Acetonide Solution

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

“…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.…”

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

“…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…”

Earlobe Keloids: Classification According to Gross Morphology Determines Proper Surgical Approach

“…Several surgical techniques for earlobe keloids have been described, as shown in Table 3, but none of these surgical techniques addresses the treatment according to the diverse type of earlobe keloid. [2][3][4][5][6][7][8][9][10][11][12][13][14][15] Several methods of flap closure, including the subcutaneous island pedicle flap 7 and suprakeloidal flap, 11 and primary skin grafting, such as full and split-thickness skin grafts, 3,9,13 have been suggested to close defects after keloid excision. Although these methods have their advantages and disadvantages, often "just closing the wound" as a direct linear closure is desirable, if possible.…”

“…Converse et al 3 1 Surgical excision followed by split-thickness skin graft Cosman et al 2 96 Surgical method was not mentioned in the article Howell et al 4 ? Core excision followed by V-wedged reconstruction Salasche et al 5 6 Central core excision followed by local flap coverage or skin graft Hatoko et al 7 5 Surgical resection followed by subcutaneous island pedicle flap Venkatramani et al 8 1 Surgical excision followed by postauricular, inferiorly based flap Ziccardi et al 9 1 Surgical excision followed by full-thickness skin graft Lee et al 10 24 Core excision followed by local flap coverage Adams et al 11 1 Surgical excision followed by suprakeloidal flap coverage Kim et al 12 9 Surgical excision followed by fillet flap coverage Saha et al 13 15 Surgical excision followed by split-thickness skin graft Stashower et al 14 8 Surgical excision followed by secondary intention healing using imiquimod cream application Donkor P. 15 8 Surgical excision followed by primary closure Music et al 17 15…”