Marson Justin W, Baldwin Hilary E
Dr. Marson is with the Department of Medicine at University of California Irvine in Orange, California.
Dr. Baldwin is with the Acne Treatment and Research Center in Morristown, New Jersey and Rutgers Robert Wood Johnson Medical Center in Piscataway, New Jersey.
J Clin Aesthet Dermatol. 2020 May;13(5):29-30. Epub 2020 May 1.
Keloids are dense, fibrous tumors that arise from the dysregulation of normal wound healing, ultimately outgrowing the initial traumatic lesion. We present a modified technique for the excision of dumbbell-shaped keloids on the earlobe using tools common to every dermatologist's office. This was an observational report on the outcomes of dumbbell keloid excision using a #15 blade and punch biopsy. Eligible individuals were those with dumbbell-shaped keloids located on the earlobe. All procedures were conducted at an urban dermatology clinic. When combining the technique with continual compression earrings and intralesional corticosteroids, excellent cosmetic outcomes and minimal recurrence were achieved. The pairing of a #15 blade and punch biopsy has been demonstrated to produce a more user-friendly method for dumbbell keloid excision by dermatologists and clinicians without advanced surgical training.
瘢痕疙瘩是致密的纤维性肿瘤，由正常伤口愈合失调引起，最终体积超过最初的创伤性病变。我们介绍一种改良技术，使用每个皮肤科诊室都有的工具切除耳垂上的哑铃形瘢痕疙瘩。这是一篇关于使用15号刀片和打孔活检切除哑铃形瘢痕疙瘩结果的观察报告。符合条件的个体是耳垂上有哑铃形瘢痕疙瘩的患者。所有手术均在一家城市皮肤科诊所进行。当将该技术与持续压迫耳环和病灶内注射皮质类固醇相结合时，可实现极佳的美容效果且复发率极低。已证明，对于没有接受过高级外科培训的皮肤科医生和临床医生而言，15号刀片和打孔活检相结合可产生一种更便于操作的哑铃形瘢痕疙瘩切除方法。
