Kim Hyung Do, Chu Sung Chul, Hwang So Min, Sun Hook, Hwang Min Kyu, Kim Min Wook, Lee Jong Seo
Aesthetic, Plastic and Reconstructive Surgery Center, Good Moonhwa Hospital, Busan, Korea.
Department of Plastic and Reconstructive Surgery, Baik Hospital, Busan Inje University, Inje university School of Medicine, Busan, Korea.
Arch Craniofac Surg. 2016 Mar;17(1):5-8. doi: 10.7181/acfs.2016.17.1.5. Epub 2016 Mar 21.
Lobular keloid appears to be a consequence of hypertrophic inflammation secondary to ear piercings performed under unsterile conditions. We wish to understand the pathogenesis of lobular keloids and report operative outcomes with a literature review.
A retrospective review identified 40 cases of lobular keloids between January, 2005 and December, 2010. Patient records were reviewed for preclinical factors such as presence of inflammation after ear piercing prior to keloid development, surgical management, and histopathologic correlation to recurrence.
The operation had been performed by surgical core extirpation or simple excision, postoperative lobular compression, and scar ointments. Perivascular infiltration was noted in intra- and extra-keloid tissue in 70% of patients. The postoperative recurrence rate was 10%, and most of the patients satisfied with treatment outcomes.
Histological perivascular inflammation is a prominent feature of lobular keloids. Proper surgical treatment, adjuvant treatments, and persistent follow-up observation were sufficient in maintaining a relatively low rates of recurrence.
小叶状瘢痕疙瘩似乎是在非无菌条件下进行穿耳后肥厚性炎症的结果。我们希望了解小叶状瘢痕疙瘩的发病机制，并通过文献综述报告手术结果。
一项回顾性研究确定了2005年1月至2010年12月期间的40例小叶状瘢痕疙瘩病例。回顾患者记录，以了解临床前因素，如瘢痕疙瘩形成前穿耳后炎症的存在、手术管理以及与复发的组织病理学相关性。
手术采用手术核心切除或简单切除、术后小叶压迫和瘢痕软膏治疗。70%的患者在瘢痕疙瘩内和瘢痕疙瘩外组织中观察到血管周围浸润。术后复发率为10%，大多数患者对治疗结果满意。
组织学上的血管周围炎症是小叶状瘢痕疙瘩的一个突出特征。适当的手术治疗、辅助治疗和持续的随访观察足以维持相对较低的复发率。
