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Updated: Apr 19, 2026
Anteromesial Temporal Lobectomy for Medically Intractable Temporal Lobe Epilepsy: An Operative Study
Published on: August 15, 2025
Complete earlobe keloid resection with fistulectomy.
ZhengHua Zhu1, YingJun Shan, LiYun Ying
1*Chinese Medical team, Ibnou Baja Provincial Hospital of Taza, Taza, Morocco; †Department of Otolaryngology-Head Neck Surgery, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China; ‡Department of Otolaryngology-Face Neck Surgery, Ibnou Baja Provincial Hospital of Taza, Taza, Morocco.
A new surgical technique, the perforation operation with fistulectomy, effectively treats earlobe keloids. This method shows no recurrence in patients after a 12-month follow-up, offering a promising solution for auricular keloid management.
Area of Science:
- Plastic Surgery
- Dermatology
- Surgical Oncology
Background:
- Earlobe keloids are common and challenging due to high recurrence rates.
- Recidivation of keloid scars after surgical excision presents a significant clinical problem.
- Auricular keloids require innovative treatment strategies to improve patient outcomes.
Purpose of the Study:
- To evaluate a novel surgical approach for treating earlobe keloids.
- To assess the efficacy and recurrence rates of a new technique for auricular keloid removal.
- To establish a reliable surgical method for managing challenging keloid formations in the earlobe.
Main Methods:
- A cohort of 9 patients with 11 earlobe keloids underwent excision using a perforation operation combined with fistulectomy.
- Surgical procedures were performed over a 4-year period.
- All patients were monitored for a minimum of 12 months post-surgery.
Main Results:
- The perforation operation with fistulectomy was performed on 11 earlobe keloids across 9 patients.
- No instances of keloid recurrence were observed in any patient during the follow-up period.
- The surgical approach demonstrated a 100% success rate in preventing keloid regrowth.
Conclusions:
- The perforation operation combined with fistulectomy is a suitable and effective surgical treatment for lobular keloids.
- This novel technique offers a durable solution for earlobe keloid management, minimizing the risk of recurrence.
- The study supports the use of this approach for patients suffering from auricular keloid scarring.
