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Auricular keloids: treatment and results
Christian Bermueller1, Gerhard Rettinger, Tilman Keck
1Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Ulm, Frauensteige 12, 89075, Ulm, Germany. christian.bermueller@uniklinik-ulm.de
Summary
This study evaluated long-term outcomes for auricular keloids treated with surgery and corticoid injections. Triamcinolone injections combined with surgical excision or skin grafting yielded the best cosmetic results and patient satisfaction.
Area of Science:
- Plastic Surgery
- Dermatology
- Otolaryngology
Background:
- Auricular keloids can cause significant cosmetic and psychological distress.
- Surgical excision and intralesional corticoid injections are common treatments, but long-term efficacy varies.
Purpose of the Study:
- To present long-term results of surgical excision and/or corticoid injection for auricular keloids.
- To evaluate patient quality of life and satisfaction after various treatment modalities.
Main Methods:
- Retrospective study of 17 patients with auricular keloids.
- Treatments included surgical excision, corticoid injection, and skin grafting (single or combined).
- Validated questionnaires (SF-36, patient outcomes of surgery-head/neck) and photographic assessment by a blinded surgeon were used.
Main Results:
- The combination of excision, skin grafting, and triamcinolone injection was most effective for retroauricular keloids.
- Excision, primary wound closure, and triamcinolone injection were optimal for earlobe keloids.
- Highest patient and investigator scores for aesthetics and satisfaction were achieved with triamcinolone injection, with or without surgery.
Conclusions:
- A size-related resection with full-thickness skin grafting for retroauricular keloids and primary closure with steroid injection for earlobe keloids provide good cosmetic outcomes.
- Combination therapy, particularly involving triamcinolone injections, leads to high patient satisfaction and aesthetic results for auricular keloids.
