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Combined laser treatment for ear keloids: Case series: Comparison between two mini-invasive protocols: Comparison
Domenico Piccolo1, Giuliana Crisman1, Bruno Bovani2,3
1Skin Center Avezzano, Private Practice, Avezzano, L'Aquila, Italy.
Journal of Cosmetic Dermatology
|November 10, 2021
Summary
Combined laser treatments effectively manage ear keloids. Adding Enerjet to CO2 laser and dye laser therapy showed a slightly higher success rate for keloid treatment.
Area of Science:
- Dermatology
- Laser Surgery
- Regenerative Medicine
Background:
- Keloids are benign fibrous tumors resulting from excessive fibroblast and collagen proliferation post-injury.
- Earlobe keloids, often developing years after piercing, do not regress spontaneously.
Purpose of the Study:
- To compare the effectiveness of CO2 laser plus dye laser versus a triple therapy including CO2 laser, dye laser, and Enerjet for ear keloid treatment.
Main Methods:
- Eighty patients with 83 ear keloids were divided into two groups.
- Group 1 received CO2 laser and pulsed dye laser treatment.
- Group 2 received the same laser treatment plus an adjunctive Enerjet procedure.
Main Results:
- The CO2 + dye laser group had an 85.4% non-recurrence rate over 3 months to 7 years.
- The CO2 + dye laser + Enerjet group showed a 90.5% non-recurrence rate over 3 months to 2 years.
- Both groups experienced recurrence in a small percentage of cases, requiring further treatment.
Conclusions:
- Combined laser therapies show a synergistic effect for keloid treatment.
- An 88% overall excellent outcome was achieved with laser treatments.
- The addition of Enerjet demonstrated a slightly higher prevalence of excellent outcomes.
