Surgical Excision and Radiotherapy for Giant Keloids in Auricula: A Case Report

Keloids are characterized by excessive growth of fibrous tissue resulting from abnormal wound-healing processes. They may lead to functional impairments, aesthetic deformities, pruritus, and a decreased quality of life. Various therapies, including intralesional corticosteroid injections, cryotherapy, laser therapy, surgical excision, and radiotherapy, have been used to manage keloids, but the recurrence rates remain high. Therefore, this study aimed to report combination therapy for patients with giant keloids in auricula. This report presents a 35-year-old man who had lumps in both ears that got bigger over about 10 years. Surgery was done to remove the keloids and to fix both ears. After surgery, the patient got some radiotherapy, specifically a kind called superficial brachytherapy, to try to lower the chances of the keloids coming back. A combined way of doing surgery and giving radiotherapy showed it could work well for handling big ear keloids and keeping them from coming back. The extra radiotherapy after surgery helped a lot in lowering the chances of the keloids showing up again.