Department of Plastic and Reconstructive Surgery, Kangbuk Samsung Hospital, School of Medicine, Sungkyunkwan University, Jongno-Gu, Seoul, Korea.
Dermatol Surg. 2012 Mar;38(3):406-12. doi: 10.1111/j.1524-4725.2011.02199.x. Epub 2011 Oct 31.
A previous study described the outcomes of a treatment protocol using a prospective design and identified three clinical risk factors for recurrent keloids.
To introduce a novel classification of earlobe keloids through a retrospective study and describe the appropriate surgical methods according to this new classification.
One thousand twenty-seven earlobe keloids were treated at Kangbuk Samsung Hospital from March 2001 to February 2011. All cases were studied retrospectively and classified.
The earlobe keloids were classified into five groups. The frequency of earlobe keloids in descending order were a sessile type, single nodular pattern; pedunculated type; sessile type, multinodular pattern; buried type; and mixed type. Different surgical methods were used based on the Chang-Park classification according to gross morphology, including core extirpation using a penetrating technique, standard keloidectomy, radical keloidectomy, keloidectomy with core extirpation, and a combination of these. All cases were closed primarily without skin grafting or sacrifice of the surrounding tissue.
This novel classification for earlobe keloids can lead to a better understanding of the different types of earlobe keloids and inform decisions regarding surgical methods.
先前的研究采用前瞻性设计描述了一种治疗方案的结果，并确定了复发性瘢痕疙瘩的三个临床危险因素。
通过回顾性研究引入一种新的耳垂瘢痕疙瘩分类，并根据这种新分类描述合适的手术方法。
2001 年 3 月至 2011 年 2 月，在康伯三星医院治疗了 1027 例耳垂瘢痕疙瘩。所有病例均进行回顾性研究和分类。
耳垂瘢痕疙瘩分为五组。耳垂瘢痕疙瘩的频率依次为：无蒂型、单发结节型；有蒂型；无蒂型、多发结节型；埋藏型；混合型。根据 Chang-Park 分类，根据大体形态，采用不同的手术方法，包括穿透技术的核心切除、标准瘢痕切除术、根治性瘢痕切除术、核心切除联合瘢痕切除术等。所有病例均一期闭合，无需植皮或牺牲周围组织。
这种新的耳垂瘢痕疙瘩分类可以更好地了解不同类型的耳垂瘢痕疙瘩，并为手术方法的决策提供信息。
