Surgery and follow-up care for auricular keloid: a report of 156 cases

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• 作者：Liang CHEN ; Chuan CAO ; Xiaoge LI ; Dongyun YANG ; LI Shirong ; ^{Doctor_lsr@hotmail.com}
• 关键词：Auricle ; Keloid ; Treatment
• 刊名：Journal of Medical Colleges of PLA
• 出版年：2013
• 出版时间：April, 2013
• 年：2013
• 卷：28
• 期：2
• 页码：107-112
• 全文大小：474 K

文摘

Objective

To treat and prevent auricular keloid so as to imporve the cure rate and lower the rate of recurrence.

Methods

Taking 156 sufferers of auriclar keloid at the orthopaedics department of the Southwest Hospital under the Third Military Medical University from June, 2008 to June, 2011 as the research subject, this research carried out retrospective analysis and summary of different surgical methods with the clinical data of subsequent treatments, including medicament, radiotheropy, pressure, etc.

Results

There was no auricular cartilage necrosis and deformation in the total of 156 cases. It was found that 134 cases were cured in a year of postoperative follow-up, getting the care rate to 85.9 % . The treatment was effective on 20 cases, with the effective rate of 12.8 % , while it was ineffective on 2 cases, with the ineffective rate being 1.3 % . However, two cases showed tendency towards recurrence, which were treated effectively by non-surgical methods like local hormone injection. There was neither recurrence nor apparent hyperplasia of hypertrophic scars on the rest cases, with the auricle and the earlobe in good shape.

Conclusion

By auricular keloid excision and stripping surgery, surgical suture tension was reduced. Glucocorticoid and radiotherapy were instantly applied to inhibit pyperplasia of cicatrical tissue. Subsequently, pressure, anti-scarring drugs and silicone membrane were adopted to ensure fine postoperative apperance and reduce recurrence. These methods were proved to be effective and they provided systematic and effective treatment for auricular keloid.