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Earlobe reconstruction using a subcutaneous island pedicle flap after resection of "earlobe keloid"
M Hatoko1, M Kuwahara, A Shiba
1Division of Plastic Surgery, Dermatology, Nara Medical University, Japan.
Background:
A large keloid of the earlobe is a difficult case in which to obtain a satisfying result by nonsurgical therapies. In this case, surgical resection of keloids should be considered as a first step in therapy. However, it is difficult to reconstruct the earlobe cosmetically after resection of the lesion.
Objective:
To discuss the usefulness of the subcutaneous island pedicle flap in earlobe keloid surgery.
Methods:
Five earlobe keloids in five patients (four females and one male) were resected and reconstructed by subcutaneous island pedicle flap.
Results:
In all patients, there were no keloid recurrences and no adjuvant therapies used during the follow-up periods, which ranged from 10 to 26 months. The reconstructed earlobes were almost symmetrical.
Conclusion:
In the selected cases, use of the subcutaneous island pedicle flap is a viable method to be considered for reconstruction after resection of earlobe keloids.