en تخصصي Special مقالات اصيل Original Article <div><span style="font-size: 13px;">BACKGROUND</span></div> <div><span style="font-size: 13px;">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.</span></div> <div><span style="font-size: 13px;">METHODS</span></div> <div><span style="font-size: 13px;">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&rsquo; clinical progress. Results were assessed according to Kyoto scar scale.</span></div> <div><span style="font-size: 13px;">RESULTS</span></div> <div><span style="font-size: 13px;">The patients&rsquo; 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.&nbsp;</span></div> <div><span style="font-size: 13px;">CONCLUSION</span></div> <div><span style="font-size: 13px;">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.</span></div> Ear, Keloid, Piercing, Excision, Steroid, Triamcinolone acetonide 338 344 http://wjps.ir/browse.php?a_code=A-10-284-4&slc_lang=en&sid=1 Aliakbar Mohammadi mohamadiaa1347@gmail.com 10031947532846007300 10031947532846007300 Yes Shiraz Burn and Wound Healing Research Center, Division of Plastic and Reconstructive Surgery, Department of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran Sina Kardeh sina.xix@gmail.com 10031947532846007301 10031947532846007301 No Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran Gholam Reza Motazedian gmotazedian@gmail.com 10031947532846007302 10031947532846007302 No Shiraz Burn and Wound Healing Research Center, Division of Plastic and Reconstructive Surgery, Department of Surgery, Shiraz University of Medical Sciences, Shiraz, Iran Soheil Mohammadi shl_mm@yahoo.com 10031947532846007303 10031947532846007303 No Faculty of medicine, Tehran university of medical sciences, Tehran, Iran