Helical rim advancement - A technique to avoid keloid recurrence.
James W M Kwek1, T S Lee1, Ian C Y Loh1
1Department of Otolaryngology, Head and Neck Surgery, Changi General Hospital, 2 Simei Street 3, Singapore 529889, Singapore.
Helical rim advancement flap reconstruction effectively prevents keloid recurrence after ear surgery. This tension-free technique offers a viable solution for minimizing cosmetic deformities and improving patient satisfaction.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Dermatology
Background:
- Helical rim keloids are common, disfiguring lesions resulting from ear piercings, trauma, or surgery.
- Existing treatments for helical rim keloids have variable success rates, with frequent recurrences in susceptible individuals.
Observation:
- A case series evaluated helical rim advancement flap reconstruction in 7 patients following keloid excision.
- Follow-up extended up to 2 years, with keloid sizes ranging from 1.2 cm to 5 cm.
Findings:
- No recurrences of helical rim keloids were observed in any of the 7 patients within a mean follow-up of 19 months.
- The helical rim advancement flap technique resulted in tension-free closure, addressing a key risk factor for keloid formation.
- The majority of patients reported high satisfaction with the cosmetic outcomes.
Implications:
- Helical rim advancement flap reconstruction is a promising, tension-free surgical option for selected helical rim keloids, particularly those around 2.5 cm.
- This technique can significantly reduce recurrence rates and minimize cosmetic deformities of the ear.
- Further research may explore long-term outcomes and broader applicability across different keloid sizes.
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