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Updated: Apr 30, 2026
08:47
Endoscopic Cholesteatoma Surgery
Published on: January 19, 2022
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[Keloid scars of the external ear: a non solved problem]
Summary
Keloid scars on the external ear are increasingly common due to piercings and surgery. Treatment options like surgery and corticosteroid injections have high recurrence rates, necessitating careful patient counseling.
Area of Science:
- Dermatology
- Plastic Surgery
- Otolaryngology
Background:
- Keloid scar formation is a significant concern on the external ear, with rising incidence linked to cosmetic procedures and ear piercings.
- External ear keloids pose a considerable aesthetic and psychological burden, particularly for adolescents.
Observation:
- This review examines 11 cases of external ear keloids over 10 years, analyzing wound etiology, treatment modalities, and outcomes.
- Etiologies included trauma, surgery, and piercings, with keloid formation observed in all cases.
Findings:
- Topical corticosteroids provided improvement in 2 cases. Surgical intervention was employed in 9 cases, with 4 requiring skin grafts, resulting in 5 recoveries and 4 recurrences. Two cases underwent reoperation.
- Intralesional corticosteroid injections alone led to recovery in one case and improvement in another.
Implications:
- Management of external ear keloids is complex, with no single treatment demonstrating superior efficacy and a high risk of recurrence.
- Informed consent regarding potential complications and recurrence risks is crucial, especially for adolescent patients undergoing procedures that may lead to keloid formation.
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