Combined treatment of earlobe keloids with shaving, cryosurgery, and intralesional steroid injection: a 1-year follow-up

Dermatol Surg. 2013 May;39(5):734-8. doi: 10.1111/dsu.12107. Epub 2013 Feb 4.

Abstract

Background: Earlobe keloids are benign, fibrous proliferations that occur in predisposed persons at sites of cutaneous injury. No single best therapeutic modality is indicated.

Objective: To describe a 1-year follow-up of 12 patients with earlobe keloids treated by shaving followed by cryosurgery and intralesional injection of triamcinolone.

Materials and methods: Twelve patients were treated with combined surgery and cryosurgery.

Results: After 1 year, major response was observed in nine cases (75%) and moderate response in two cases (16%); one case had a relapse 5 months after the surgery.

Conclusion: These results are highly encouraging because all patients showed improvement. Shaving associated with cryosurgery seems to be a useful treatment for large keloids scars.

MeSH terms

  • Adolescent
  • Adult
  • Cell Proliferation
  • Combined Modality Therapy
  • Cryosurgery
  • Curettage*
  • Ear Diseases / pathology
  • Ear Diseases / surgery
  • Ear Diseases / therapy*
  • Ear, External / pathology*
  • Female
  • Follow-Up Studies
  • Glucocorticoids / administration & dosage*
  • Humans
  • Injections, Intralesional
  • Keloid / surgery*
  • Keloid / therapy
  • Male
  • Treatment Outcome
  • Triamcinolone / administration & dosage*
  • Young Adult

Substances

  • Glucocorticoids
  • Triamcinolone