A Working Classification and a Simple Effective Management Protocol for Ear Keloids

Area of Science:

• Dermatology
• Plastic Surgery
• Otolaryngology

Background:

• Ear keloids present unpredictable behavior, complicating management protocols.
• A novel classification based on anatomical location aids in understanding and managing ear keloids.
• Minimizing recurrence rates is the primary goal for effective ear keloid management.

Purpose of the Study:

• To introduce a new classification and management protocol for ear keloids.
• To evaluate the efficacy of the proposed protocol in reducing keloid recurrence.
• To analyze the recurrence rates of ear keloids treated with complete excision and adjuvant therapy.

Main Methods:

• Prospective analysis of 71 patients with 106 ear keloids treated between 2007 and 2022.
• Management involved complete keloid excision followed by a 6-month to 1-year adjuvant protocol.
• Adjuvant therapy included scar stabilization massage and corticosteroid therapy if needed.

Main Results:

• The study included 106 ear keloids in 71 patients, with 91.54% being female.
• The overall recurrence rate after treatment was 5.6%.
• Patients aged 15-30 years were most commonly affected.

Conclusions:

• The proposed classification and management protocol resulted in a 94.4% recurrence-free state.
• This evidence-based approach offers a consistent and effective solution for ear keloid treatment.
• The protocol emphasizes complete excision and long-term adjuvant scar management.