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隆鼻术中取耳软骨后出现耳部瘢痕疙瘩和表皮样囊肿:一例报告。

Ear keloid and epidermal cyst following auricular cartilage harvest for rhinoplasty: A case report.

作者信息

Kim Jun Mo, Cheon Ji Seon, Choi Woo Young

机构信息

Department of Plastic Reconstructive Surgery, Chosun University College of Medicine, Gwangju 61453, South Korea.

Department of Plastic and Reconstructive Surgery, Chosun University College of Medicine, Gwangju 61453, South Korea.

出版信息

World J Clin Cases. 2024 Jul 16;12(20):4434-4439. doi: 10.12998/wjcc.v12.i20.4434.

DOI:10.12998/wjcc.v12.i20.4434
PMID:39015904
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11235563/
Abstract

BACKGROUND

This case report highlights a rare instance of concurrent keloid and epidermal cyst development at an ear cartilage harvest site following rhinoplasty in a 25-year-old woman. Both conditions, which typically stem from skin trauma, seldom occur together, demonstrating the exceptional characteristics of this case.

CASE SUMMARY

The patient underwent successful surgical removal of both the keloid and the epidermal cyst. Postoperative treatment included the use of silicone sheets, gel, and oral tranilast to reduce scarring. No recurrence was observed over a 6-mo follow-up period, indicating effective management of the condition.

CONCLUSION

The effective management of complex skin trauma cases underscores the need for individualized treatment strategies in plastic surgery.

摘要

背景

本病例报告强调了一名25岁女性隆鼻术后耳软骨取材部位同时出现瘢痕疙瘩和表皮囊肿这一罕见情况。这两种情况通常都源于皮肤创伤,很少同时发生,显示出该病例的特殊性。

病例摘要

患者成功接受了瘢痕疙瘩和表皮囊肿的手术切除。术后治疗包括使用硅胶片、凝胶和口服曲尼司特以减少瘢痕形成。在6个月的随访期内未观察到复发,表明病情得到有效控制。

结论

复杂皮肤创伤病例的有效管理凸显了整形外科中个性化治疗策略的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c3a/11235563/c7cf943961bb/WJCC-12-4434-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c3a/11235563/6ae9b6ca91d0/WJCC-12-4434-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c3a/11235563/0ccc7fb71868/WJCC-12-4434-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c3a/11235563/4c7266c39fd6/WJCC-12-4434-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c3a/11235563/c7cf943961bb/WJCC-12-4434-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c3a/11235563/6ae9b6ca91d0/WJCC-12-4434-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c3a/11235563/0ccc7fb71868/WJCC-12-4434-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c3a/11235563/4c7266c39fd6/WJCC-12-4434-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c3a/11235563/c7cf943961bb/WJCC-12-4434-g004.jpg

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本文引用的文献

1
Epidermal Cyst on the Scalp Induced by Forceps Injury During Delivery: A Case Report and Epidemiological Analysis of 3949 Patients.分娩时产钳损伤所致头皮表皮样囊肿:1例报告及3949例患者的流行病学分析
Clin Cosmet Investig Dermatol. 2023 Mar 8;16:593-601. doi: 10.2147/CCID.S399372. eCollection 2023.
2
Keloids: a review of therapeutic management.瘢痕疙瘩:治疗管理综述。
Int J Dermatol. 2021 Jun;60(6):661-671. doi: 10.1111/ijd.15159. Epub 2020 Sep 9.
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The Keloid Disorder: Heterogeneity, Histopathology, Mechanisms and Models.
瘢痕疙瘩疾病:异质性、组织病理学、机制与模型
Front Cell Dev Biol. 2020 May 26;8:360. doi: 10.3389/fcell.2020.00360. eCollection 2020.
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Overview of epidermoid cyst.表皮样囊肿概述。
Eur J Radiol Open. 2019 Sep 5;6:291-301. doi: 10.1016/j.ejro.2019.08.003. eCollection 2019.
5
Management of epidermal cysts arising from scar tissues: A retrospective clinical study.瘢痕组织源性表皮囊肿的治疗:一项回顾性临床研究。
Medicine (Baltimore). 2018 Aug;97(35):e12188. doi: 10.1097/MD.0000000000012188.
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Epidermal Cysts: A Clinicopathological Analysis with Emphasis on Unusual Findings.表皮囊肿:一项侧重于异常发现的临床病理分析
Int J Trichology. 2017 Jul-Sep;9(3):108-112. doi: 10.4103/ijt.ijt_16_17.
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Analysis of 15 cases of auricular keloids following conchal cartilage grafts in an asian population.亚洲人种人群中 15 例耳软骨移植术后耳廓瘢痕疙瘩的分析。
Aesthetic Plast Surg. 2013 Feb;37(1):102-5. doi: 10.1007/s00266-012-9998-7. Epub 2012 Nov 19.
8
Epidermal inclusion cyst: cytomorphological features and differential diagnosis.表皮样囊肿:细胞形态学特征及鉴别诊断
Diagn Cytopathol. 2008 Dec;36(12):861-3. doi: 10.1002/dc.20923.
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Complications of ear piercing: treatment and prevention.耳洞穿孔的并发症:治疗与预防。
Cutis. 1991 Nov;48(5):386-94.