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Auricular keloids: combined therapy with a new pressure device
Gregor M Bran1, Jörn Brom, Karl Hörmann
1Department of Otorhinolaryngology-Head and Neck Surgery, University Hospital of Mannheim, Theodor-Kutzer-Ufer 1-3, Mannheim, Germany. gregor.bran@umm.de
Archives of Facial Plastic Surgery
|August 17, 2011
Summary
A new auricular pressure device, used with standard treatments, effectively manages ear keloids. This safe adjuvant therapy showed no recurrence in patients over a 24-month follow-up.
Area of Science:
- Dermatology
- Biomedical Engineering
Background:
- Auricular keloids present a treatment challenge, often requiring multimodal approaches.
- Established therapies include surgical excision and corticosteroid injections, but recurrence remains a concern.
Observation:
- A custom-made auricular pressure device was developed for adjuvant therapy.
- Seven patients with auricular keloids received surgical excision, corticosteroid injection, and the pressure device.
- The device was worn overnight for 5 nights weekly for an average of 24 months.
Findings:
- All patients tolerated the pressure device well, with no reported pruritus, pain, or dysesthesia.
- No keloid recurrence was observed in any patient during the follow-up period.
- Patient satisfaction with the treatment outcome was high.
Implications:
- The custom auricular pressure device demonstrates safety and efficacy as an adjunct to standard auricular keloid treatments.
- This therapy holds potential for the prophylaxis of auricular keloid recurrence.
- Further research may validate this device for broader clinical application in keloid management.
