[Home ] [Archive]    
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
:: Volume 8, Issue 3 (9-2019) ::
wjps 2019, 8(3): 338-344 Back to browse issues page
Management of Ear Keloids Using Surgical Excision Combined with Postoperative Steroid Injections
Aliakbar Mohammadi , Sina Kardeh, Gholam Reza Motazedian, Soheil Mohammadi
Shiraz Burn and Wound Healing Research Center, Division of Plastic and Reconstructive Surgery, Department of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran
Abstract:   (258 Views)
BACKGROUND
Ear keloids are a challenging problem that affect people of different races with substantial aesthetic consequences. Various types of adjuvant therapies, including intralesional corticosteroid injection are advocated to lower recurrence following excision. We investigated the efficacy of a protocol combined of excision and postoperative intralesional triamcinolone acetonide (TA) injection for treating earlobe keloids in a group of Iranian female patients.
METHODS
A retrospective analysis of 21 patients representing 31 ear keloids treated by a single physician between 2013 and 2017 was conducted. All keloids occurred after ear piercing in female cases. Postoperative intralesional TA injection was administered once monthly and continued for several months based on the patients’ clinical progress. Results were assessed according to Kyoto scar scale.
RESULTS
The patients’ mean age was 24.29 years and ranged from 16 to 40 years. After the surgery, the follow-up period ranged from 10 to 29 months (mean: 15.93 months) and patients were given TA intralesional injections 3 to 6 times (mean: 4.22 times) with no complication or adverse effect. Of the treated keloids, success was achieved in all of 31 keloids (100%) and final evaluation revealed that the mean Kyoto scar scale was significantly decreased. No recurrence occurred. 
CONCLUSION
Surgical excision followed by postoperative intralesional TA injection can be suggested as the primary protocol for the treatment of ear keloids considering its durable results and economic advantage.
Keywords: Ear, Keloid, Piercing, Excision, Steroid, Triamcinolone acetonide
Full-Text [PDF 2240 kb]   (80 Downloads)    
Type of Study: Original Article | Subject: Special
Received: 2018/10/7 | Accepted: 2018/12/15 | Published: 2019/09/13
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA


XML     Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Mohammadi A, Kardeh S, Motazedian G R, Mohammadi S. Management of Ear Keloids Using Surgical Excision Combined with Postoperative Steroid Injections. wjps. 2019; 8 (3) :338-344
URL: http://wjps.ir/article-1-448-en.html


Volume 8, Issue 3 (9-2019) Back to browse issues page
مجله جهانی جراحی پلاستیک World Journal of Plastic Surgery
Persian site map - English site map - Created in 0.06 seconds with 32 queries by YEKTAWEB 3977