Management of earlobe keloids is still controversial. Many different treatment modalities have been employed; however, no single approach has been completely successful. We used combination therapy that included compression therapy, laser excision, and serial steroid injection, which has improved our therapeutic outcomes for earlobe keloids.
References
1.
AddisonT.On the keloid of Alibert, and on true keloid. Medico-Chirurgical Transactions (London)1854;37:27–47.
2.
LindseyWH, DavisPT. Facial keloids. A 15-year experience. Arch Otolaryngol Head Neck Surg1997;123:397–400.
3.
HornDB. Treating the elusive keloid. Arch Otolaryngol Head Neck Surg2001;127:1140–3.
4.
KooninAJ. The aetiology of keloids: A review of the literature and a new hypothesis. S Afr Med J1964;38:913–16.
5.
KovalicJJ, PerezCA. Radiation therapy following keloidectomy: A 20-year experience. Int J Radiat Oncol Biol Phys1989;17:77–80.
6.
RagoowansiR, CornesPGS, GleesJP, Ear-lobe keloids: Treatment by a protocol of surgical excision and immediate postoperative adjuvant radiotherapy. Br J Plast Surg2001;54:504–8
7.
DarziMA, ChowdriNA, KaulSK, Evaluation of various methods of treating keloids and hypertrophic scars: A 10-year follow-up study. Br J Plast Surg1992;45:374–9.
8.
SclafaniAP, GordonL, ChadhaM, RomoTGIII. Prevention of earlobe keloid recurrence with postoperative corticosteroid injections versus radiation therapy: A randomized, prospective study and review of the literature. Dermatol Surg1996;22:569–74.
9.
ParletteHLIII, HendrixJDJr.Cutaneous and cartilaginous lesions of the auricle. Facial Plast Surg1995;11:310–18.
10.
LeeY, MinnKW, BaekRM, HongJJ. A new surgical treatment of keloid: Keloid core excision. Ann Plast Surg2001;46:135–40.
11.
RockwellWB, CohenIK, EhrlichHP. Keloids and hypertrophic scars: A comprehensive review. Plast Reconstr Surg1989;84:827–37.
12.
SternJC, LucenteFE. Carbon dioxide laser excision of earlobe keloids: A prospective study and critical analysis of existing data. Arch Otolaryngol Head Neck Surg1989;115:1107–11.
13.
KantorGR, WheelandRG, BailinRG, Treatment of earlobe keloids with carbon dioxide laser excision: A report of 16 cases. J Dermatol Surg Oncol1985;11:1063–7.