Faculty of Dermatology, Kuwait Institute of Medical Specialization, Sharq, Kuwait; Dermatologic Surgery Unit, As'ad Al-Hamad Dermatology Center, Shuwaikh, Kuwait.
Dermatol Surg. 2013 Oct;39(10):1514-9. doi: 10.1111/dsu.12262. Epub 2013 Jul 22.
Management of earlobe keloids is challenging because they are often resistant to treatment. The literature reports different treatment modalities with variable responses. Surgical excision with core fillet flap in combination with adjuvant intralesional steroid injection has not been thoroughly explored for keloid treatment, in spite of its positive therapeutic and cosmetic outcome.
To evaluate the clinical efficacy of keloidectomy with core fillet flap and adjuvant intralesional steroid injection in treating earlobe keloids.
Between 2004 and 2012, 21 earlobe keloids were treated using keloidectomy with core fillet flap and given intraoperative intralesional steroid injections. Follow-up was scheduled 2 weeks after the procedure and then monthly to administer intralesional steroid injections and to assess response, postoperative complications, recurrence, and objective and subjective satisfaction.
The clinical outcome efficacy was 87.6%. Mean follow-up was 21.9 months. Immediate recurrence was 9.5%, with few complications encountered. Subjectively, 82.3% of the patients were highly satisfied.
Keloidectomy with core fillet flap and adjuvant intralesional steroid therapy is an effective modality for the clinical management of earlobe keloids. This approach should be considered for the treatment of this difficult condition.
耳垂瘢痕疙瘩的治疗具有挑战性，因为它们通常对治疗有抵抗力。文献报道了不同的治疗方法，但反应不一。尽管外科切除联合核心皮瓣和辅助局部皮质类固醇注射在治疗瘢痕疙瘩方面具有积极的治疗和美容效果，但尚未对此进行深入探讨。
评估外科切除联合核心皮瓣和辅助局部皮质类固醇注射治疗耳垂瘢痕疙瘩的临床疗效。
2004 年至 2012 年间，我们采用外科切除联合核心皮瓣和术中局部皮质类固醇注射治疗 21 例耳垂瘢痕疙瘩。术后 2 周开始随访，每月进行局部皮质类固醇注射，并评估疗效、术后并发症、复发情况以及客观和主观满意度。
临床疗效有效率为 87.6%。平均随访时间为 21.9 个月。即刻复发率为 9.5%，并发症较少。主观上，82.3%的患者非常满意。
外科切除联合核心皮瓣和辅助局部皮质类固醇治疗是耳垂瘢痕疙瘩临床管理的有效方法。对于这种棘手的情况，应考虑采用这种方法进行治疗。
