Brent B
Ann Plast Surg. 1978 Nov;1(6):579-81. doi: 10.1097/00000637-197811000-00008.
Prevention of postexcisional recurrence of the common earlobe keloid has long been an enigma to the surgeon. The increased realization that pressure aids in diminishing hypertrophic burn scars has stimulated us to develop an effective pressure device to control the collagen overgrowth frequently occurring after initial keloid excision. Our device is a decorative spring-pressure earring that is applied to the earlobe 2 weeks after excision of the keloid. The patient is instructed to wear the earring for 4 to 6 months. An effective evaluation of this device was carried out through its bilateral use in some patients. The earring was used initially on only 1 ear; when early recurrence was detected in the control ear, application of the device diminished and prevented keloid reformation. This innovation promises to be an important adjunct in the prevention of postexcisional recurrence of earlobe keloids, and the preliminary results are reported with a 12 to 15 month follow-up. Constant light pressure is discussed as an effective means of preventing postexcisional recurrence of these lesions.
长期以来，预防耳垂瘢痕疙瘩切除术后复发一直是外科医生面临的难题。人们越来越意识到压力有助于减轻增生性烧伤瘢痕，这促使我们开发一种有效的压力装置，以控制耳垂瘢痕疙瘩初次切除后经常出现的胶原过度增生。我们的装置是一种装饰性弹簧压力耳环，在瘢痕疙瘩切除后2周应用于耳垂。患者需佩戴该耳环4至6个月。通过在一些患者双侧使用该装置进行了有效评估。该耳环最初仅用于一只耳朵；当对照耳检测到早期复发时，使用该装置可减少并预防瘢痕疙瘩再次形成。这项创新有望成为预防耳垂瘢痕疙瘩切除术后复发的重要辅助手段，本文报告了12至15个月随访的初步结果。文中讨论了持续的轻微压力是预防这些病变切除术后复发的有效方法。
