• Meng-Meng Wang, Xiang-Na Cai, and Ying-Chang Ji.
• The First Affiliated Hospital of Shantou University Medical College, Shantou City, Guangdong Province, China.
• Medicine (Baltimore). 2023 Apr 7; 102 (14): e33444e33444.

RationaleEar keloid is one of the more common forms of keloid, which may cause pain and itching, and is aesthetically unappealing. Recurrence is common with any monotherapy which prompted a comprehensive, multidimensional approach.Patient ConcernsA 24-year-old female was evaluated in our department on April 6, 2021, due to an "8-year recurrence following a left ear keloid resection." In July 2013, a left auricle keloid excision was performed in a local hospital. One year following the operation, the scar at the surgical site had proliferated, gradually spreading beyond the original scar borders. Patients worry about recurrence after surgery affecting the appearance of the ear.DiagnosisEar keloid.InterventionsThe patient underwent a 2-stage re-resection of the keloid, followed by postoperative radiotherapy, and triamcinolone acetonide injection around the incision at the time of the second operation. Finally, silicone gel was applied for antiscar treatment.OutcomesThere has been no postoperative recurrence of ear keloid during the 12-month follow-up.LessonsFor ear keloids, combination therapy offers an improved approach with an excellent aesthetic appearance and less risk of recurrence than traditional monotherapy.Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.

20 keywords...

hide…