The Efficacy of Complete Surgical Excision of Keloid and Piercing Sinus Tract on Earlobe Keloid

Wuk, Hyun; Jung, Hye–Young; Lim, Hyun Jung; Lee, Seok Jong; Kim, Do Won; Lee, Weon Ju

doi:10.5021/ad.2013.25.3.370

Cited by 4 publications

(5 citation statements)

References 9 publications

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“…Keloid‐derived keratinocytes produce signals that stimulate fibroblasts in the underlying dermis to generate more extracellular matrix. The sinus tract should be punched with a punch biopsy at least 1 mm larger than the core itself 11 . Therefore, we used a disposable punch biopsy for keloidal core excision.…”

Section: Discussionmentioning

confidence: 99%

“…In punched with a punch biopsy at least 1 mm larger than the core itself. 11 Therefore, we used a disposable punch biopsy for keloidal core excision. Moreover, it is possible to maintain a uniform layer of overlying skin, which helps to minimize damage to surrounding tissues that may occur during a surgical procedure with a scalpel because the keloid can be hard and slippery.…”

Section: Recurrence Ratementioning

confidence: 99%

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Auricular keloid management in Asian skin: Clinical outcome of intralesional excision and postoperative triamcinolone acetonide intralesional injection

Choi

Lee

et al. 2020

J of Cosmetic Dermatology

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Background Various options such as surgical excision, steroid injection, cryotherapy, pressure dressing, and radiation therapy are available for the treatment of auricular keloids. In particular, auricular keloid therapy using surgical excision is important because recurrence rates are low compared with keloids occurring in other parts of the body. Aims We aimed to evaluate the clinical outcomes of intralesional excision followed by postoperative triamcinolone acetonide intralesional injection (TA ILI) as auricular keloid treatments. Methods We conducted a surgery records and chart review of patients who underwent auricular keloid treatment with intralesional excision and TA ILI. Reduction in height and volume was assessed by two blinded dermatologists. We also analyzed the recurrence rate over a 2‐year period and evaluated patient satisfaction using an 11‐point questionnaire (0‐10). Results Eighteen Korean patients (2 males and 16 females) with a mean age of 26.5 years and a total of 20 lesions were evaluated. Lesion types by descending frequency were lobular (n = 10, 50%), anterior/posterior button (n = 3, 15%), wrap‐around (n = 3, 15%), dumbbell (n = 2, 10%), and sessile (n = 2, 10%). The total recurrence rate was 5% (1/20) within the 24‐month follow‐up period. Significant reduction (> 50%) in height and volume was achieved in 95% of patients. No serious or persistent adverse events were reported during the follow‐up period. Conclusion We confirmed that TA ILI after intralesional excision can be effective for auricular keloid management. A low recurrence rate similar to that of postoperative radiation therapy was obtained with an effective surgical procedure and minimal postoperative treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Recurrence Ratementioning

confidence: 99%

Auricular keloid management in Asian skin: Clinical outcome of intralesional excision and postoperative triamcinolone acetonide intralesional injection

Choi

Lee

et al. 2020

J of Cosmetic Dermatology

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“…1 Ear piercing is very common among females, which makes them susceptible to develop keloids over the ear as a tract is formed in the subdermal region following the piercing injury. 2 Due to the extensive prevalence of ear piercings in Indian females along with the increased susceptibility of keloids formation in pigmented populations, 3 keloids are not an uncommon problem in the country. There exist no standardized guidelines for use of any treatment modality.…”

Section: Introductionmentioning

confidence: 99%

Ear Keloids Treated with Postoperative Electrons: A Case Series

Vats

Sarin

Mukundan

et al. 2022

South Asian J Cancer

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Introduction Multiple modalities exist for treating keloids ranging from surgical, medical, chemotherapeutic, and radiation therapy. Different techniques of radiation therapy have been used to treat keloids as an adjuvant to surgical excision. With this case series, we report our experience of using electron beam radiation therapy in this setting. Materials and Methods We retrospectively analyzed 16 ear keloids treated in 10 patients from January 2013 to October 2015 with surgical excision followed by electron beam to a dose of 10 Gy in two fractions over two consecutive days in immediate postoperative period. Patients were evaluated for recurrent lesions, cosmesis, and adverse effects. Results With a median follow-up of 78 months (range: 67–100 months), recurrent lesion was seen in five cases; a local control rate of 68.75% was seen. Median recurrence-free period was 67 months (range: 12–100 months). Acceptable cosmesis was seen in all cases and no acute or chronic adverse effects were seen. Conclusion The large follow-up period in our series establishes the role of electron beam radiation therapy in attaining long-term control in keloid patients. The lower total dose with higher dose per fraction used in our patients has acceptable control along with good cosmesis and absent adverse effects.

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“…Usually piercing injury leads to the formation of a tract in the subdermal region. [ 5 ] The tract can be removed by magnification. After surgery, patients were prescribed topical liquid silicone gel as the adjuvant to prevent recurrence.…”

Section: Introductionmentioning

confidence: 99%

Piercing ear keloid: Excision using loupe magnification and topical liquid silicone gel as adjuvant

Ramesh

Mohan

2018

J Cutan Aesthet Surg

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Background:Keloid is an abnormal growth of scar at the site of skin injury, which usually does not regress. It proliferates beyond the original scar. The ear keloid usually develops after piercing injury to wear ornaments. A patient usually asks for removal of keloid, as it is aesthetically unpleasant. Patient may sometimes complain of itching and pain.Aim:The study was conducted to analyze results following excision of keloid with its tract and topical silicone gel as the postsurgical adjuvant.Materials and Methods:Ear keloids measuring less than 0.5cm or more than 5cm in maximum dimension were excluded from the study. Nonpiercing causes such as burns, trauma, and recurrent keloid were excluded from the study. The study was carried out on 22 patients who had keloid because of piercing injury, including 4 cases with both ear keloids. Of 26 ear keloids, 19 had the tract or connecting tissue. The lesion was excised under anesthesia using magnification. For all the operated cases, topical liquid silicone gel was used as postsurgical adjuvant therapy. The method of application of topical silicone gel was taught to each patient and was considered significant.Result:The magnification helped in identification of tract in 73% of the cases in this study. Twenty patients had successfully responded to proposed treatment, and two patients developed recurrence while using topical silicone gel as the adjuvant. These two patients were managed with conventional triamcinolone injection.Conclusion:The topical silicone gel as postsurgical adjuvant therapy avoided the use of painful postsurgical injection or radiotherapy for the 1–3cm primary ear keloids. The advantages of magnification were better clearance of keloid tissue, easier identification of tract and removal of keloid pseudopods, meticulous suturing, and comfortable elevation of a small local flap.

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The Efficacy of Complete Surgical Excision of Keloid and Piercing Sinus Tract on Earlobe Keloid

Cited by 4 publications

References 9 publications

Auricular keloid management in Asian skin: Clinical outcome of intralesional excision and postoperative triamcinolone acetonide intralesional injection

Auricular keloid management in Asian skin: Clinical outcome of intralesional excision and postoperative triamcinolone acetonide intralesional injection

Ear Keloids Treated with Postoperative Electrons: A Case Series

Piercing ear keloid: Excision using loupe magnification and topical liquid silicone gel as adjuvant

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