[Bilateral keloids secondary to otoplasty treated by excision and keloids flaps]

Keloids are tumour-like scars that appear some years after the original wound, and which spread beyond the limits of the scar. Prominent ears are the most common deformity of the earlobe. The correction of this abnormality with otoplasty achieves very satisfactory results. On the other hand, otoplasty could entail several adverse effects, of which the keloid scar must be considered. There are numerous techniques for the removal of keloids and for performing a subsequent coverage. The keloid flap consists in the excision of the keloid scar preserving a thin layer of skin which covers the keloid, with a pedicle attached to the normal skin, in order to close the defect. The keloid flap is an effective and simple solution for the coverage of large defects after complete giant keloid eradication.