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Treatment of ear keloids: algorithm for a multimodal therapy regimen
Julia Thierauf1, M Walther2, N Rotter3
1Department of Otorhinolaryngology, Head and Neck Surgery, Ulm University Medical Center, Frauensteige 12, 89075, Ulm, Germany. thieraufjulia@gmail.com.
Summary
The fillet technique surgery, combined with pressure devices and steroid injections, effectively prevents ear keloid recurrence. Multimodal therapy significantly reduces relapse risk compared to single treatments.
Area of Science:
- Dermatology
- Surgical Oncology
Background:
- Keloids are benign skin growths from fibroblasts, often recurring after ear trauma or piercings.
- Existing multimodal therapies for ear keloids have high recurrence rates, lacking clear combination algorithms.
Purpose of the Study:
- To determine the most effective combination therapy for ear keloid treatment.
- To evaluate the recurrence rates of different keloid treatment modalities.
Main Methods:
- A cohort of 38 patients with ear keloids was analyzed.
- A prospective subgroup (n=17) received the "fillet technique" surgery plus intra-lesional steroid injections and/or pressure devices.
- Retrospective analysis of 21 patients treated previously was performed for comparison.
Main Results:
- No recurrences were observed in patients treated with the fillet technique (p < 0.001).
- The prospective subgroup (fillet technique, steroids, pressure) showed a 0% recurrence rate.
- Relapse risk decreased with increased therapy combinations: single (40%), dual (14.3%), and triple (0%).
Conclusions:
- The "fillet technique" is a highly effective method for preventing ear keloid recurrence.
- Combining multiple treatment modalities, particularly the fillet technique, pressure, and steroid injections, offers the best outcomes.
- Further research is needed to establish definitive algorithms for multimodal keloid treatment.
