Papers of The 2nd Japan Scar Workshop

3. Issues concerning post-operative deformities and recidivation in the treatment of keloids of the auricle

Toyokazu Tajiri, Masaaki Kosaka, Tomokazu Nishihira, Akiko Etoh, Taro Makino, Kouji Kinoshita, Hiroyuki Ohjimi
Department of Plastic Surgery, Fukuoka University, Fukuoka, Japan

Keloids of the auricle, also known as ear-pierce keloids, should be approached aggressively due to the success of surgical treatment in comparison to true keloids. However, some issues facing the clinical treatment of keloids include: level of patient understanding, case frequency, post-operative deformities, tendency to recidivate, and differentiation from granulomas and atheromas. During the past seven years, our department has surveyed data concerning the average age of ear piercing and onset of keloids, combination treatments, and observations of the clinical course, and considered issues relating to keloids of the auricle. Of 34 case studies, 6 were male (mean age 19.3 years) and 28 were female (mean age 25.4 years), and the period of observation ranged from 8 days to 3 years (average 5.9 months). Only 28.6% (average observation period of 8.4 months) of patients completed the full course of treatment as determined by their physician, and patients who did not complete treatment (71.4%, average observation period of 3.4 months) were omitted from the study due to difficulty in assessing progression. Although keloids of the auricle are aggressively approached surgically, there are still many issues concerning the use of post-operative pressure and radiation therapies.
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