Adjuvant radiation of bilateral postauricular keloids: an illustration of technique

Treatment of keloids can be diverse and, frequently, in cases of recurrence, patients are referred for postoperative radiation therapy. Some sites known for keloid formation, such as the postauricular surface, can create a technical challenge. Because of the need for treatment so soon after surgery, physical manipulation of the freshly operated area to accommodate exposure for electron (or other) therapy is difficult. We were recently asked to evaluate a patient requiring treatment of both postauricular spaces. Literature describing techniques for such a case is scant, and we felt it would be helpful to describe and depict our setup and treatment course.