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  1. Home
  3. Effectiveness Of Stellate Excision In Reducing Keloid Recurrence And Improving Aesthetic Outcomes In The Upper Third Of The Ear.
  1. Home
  3. Effectiveness Of Stellate Excision In Reducing Keloid Recurrence And Improving Aesthetic Outcomes In The Upper Third Of The Ear.

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Effectiveness of Stellate Excision in Reducing Keloid Recurrence and Improving Aesthetic Outcomes in the Upper Third

Francesco Di Pierro1, Sean Bo Jie Loh2, Nevin Yi Meng Chua3

  • 1Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, University of Insubria, Ospedale di Circolo e Fondazione Macchi, Varese, Italy.

Facial Plastic Surgery : FPS
|August 25, 2025

View abstract on PubMed

Summary
This summary is machine-generated.

Stellate excision effectively treats upper ear keloids, showing a 95% success rate with minimal recurrence. This surgical technique preserves ear shape and improves cosmetic results for auricular keloid patients.

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Area of Science:

  • Dermatology
  • Plastic Surgery
  • Otolaryngology

Background:

  • Auricular keloids, especially in the upper ear, frequently recur post-treatment, causing deformities.
  • Traditional methods often lead to high recurrence and compromised ear aesthetics.
  • The upper ear's anatomy presents unique challenges for keloid management.

Purpose of the Study:

  • To evaluate the efficacy of stellate excision for upper third auricular keloids.
  • To assess recurrence rates and cosmetic outcomes following this surgical technique.

Main Methods:

  • Retrospective study of 40 adult patients with upper third ear keloids.
  • All patients underwent stellate excision with cartilage wedge resection and local flap closure.
  • Standardized postoperative triamcinolone injections and 24-month follow-up were employed.

Main Results:

  • Stellate excision demonstrated a 95% success rate in managing upper third ear keloids.
  • The technique preserved ear shape and reduced tension, leading to favorable cosmetic outcomes.
  • Low recurrence rates were observed during the 24-month follow-up period.

Conclusions:

  • Stellate excision is a reliable and cosmetically advantageous method for upper third ear keloids.
  • The procedure offers a low recurrence rate and improved aesthetic results.
  • Further research should explore the broader applicability of stellate excision in different ear regions.