Treatment of retroauricular keloids: Revision of cases treated at the ENT service of HC/UFPR

Abstract

Summary Introduction: Keloids are benign tumors arising from abnormal healing of the skin, and there are several procedures available for their treatment. Objective: The objective of this study was to evaluate the outcomes of patients undergoing treatment of keloids after ear, nose, and throat (ENT) surgeries at our service center. Method: We conducted thorough, retrospective and prospective analysis of records of patients undergoing treatment of retroauricular keloids at our center. Results: Nine patients were evaluated, and 6 underwent resection and adjuvant beta-therapy, 2 underwent resection with local application of corticosteroids, and only 1 underwent resection without adjuvant therapy. There was no recurrence of keloids in patients that were treated with beta-therapy in the early postoperative period. One patient had relapsed despite corticosteroid administration and late beta-therapy. Discussion: Several techniques have been used for the treatment of retroauricular keloids, and beta-therapy is thought to yield the best results, followed by the use of intralesional corticosteroids. Conclusion: Treatment of retroauricular keloids remains a challenge. While new techniques are being developed, resection followed by early beta-therapy is still the best treatment option.

Giant Keloid of the Ear Lobule: Case Report and Brief Review of Literature

“…In giant-sized keloids, surgical excision is mandatory, reducing tension on the edges of the wound, helping to reduce inflammation in the skin, and specific techniques such as Z-plasty, W-plasty, grafts and flaps can be used, but surgery as monotherapy is not indicated, since it results in high recurrence rates in the range of 45% to 100%, and the combination of other forms of treatment is recommended, such as: continuous pressure after surgery, intralesional corticosteroids, carbon dioxide laser, application of silicone gel, administration of retinoic acid, covering with silicone gel, cryosurgery, use of chemotherapeutic agents (5-fluorouracil), intralesional interferon and radiotherapy [10].…”