Piercing Ear Keloid: Excision Using Loupe Magnification and Topical Liquid Silicone Gel as Adjuvant.

Area of Science:

• Dermatology
• Plastic Surgery
• Scar Management

Background:

• Keloids are abnormal scars that grow beyond the original injury site, often occurring on earlobes after piercing.
• Ear keloids can be aesthetically displeasing and may cause itching or pain.

Purpose of the Study:

• To evaluate the efficacy of keloid excision combined with topical silicone gel as a postsurgical treatment.
• To analyze the role of magnification in identifying and removing keloid tracts.

Main Methods:

• Surgical excision of ear keloids (excluding those <0.5cm or >5cm) caused by piercing.
• Application of topical liquid silicone gel as adjuvant therapy post-excision.
• Use of magnification during surgery to identify keloid tracts.

Main Results:

• Magnification facilitated tract identification in 73% of cases.
• 20 out of 22 patients responded well to the treatment.
• Two patients experienced recurrence and were managed with triamcinolone injections.

Conclusions:

• Topical silicone gel is a viable postsurgical adjuvant for ear keloids, potentially avoiding injections or radiotherapy.
• Magnification enhances keloid clearance, tract removal, and surgical precision.
• This combined approach offers a less invasive option for managing primary ear keloids.