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Papers of The 2nd Japan Scar Workshop |
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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
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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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