Chaudhry M R, Akhtar S, Duvalsaint F, Garner L, Lucente F E
Department of Otolaryngology and Radiation Oncology, State University of New York Health Science Center at Brooklyn.
Ear Nose Throat J. 1994 Oct;73(10):779-81.
This retrospective study was conducted to analyze the recurrence of ear lobe keloids in 36 patients after surgical excision followed by radiation therapy. In all the cases keloids were excised and the surgical wound closed primarily. Following surgery, patients underwent 1800 cGy of radiation therapy in three equally divided doses over five to seven days. Most of our patients were young black females who developed keloids secondary to ear lobe piercing. Of the 36 patients followed for a mean period of 5.6 years, we noted only one (2.8%) recurrence. All the patients were followed for a minimum of two years. No serious complications were observed in our series. However, one patient developed radiation dermatitis followed by patchy hypopigmentation. We conclude that surgical excision followed by radiation therapy is a safe and effective method to control keloid recurrence in the ear lobe region.
本回顾性研究旨在分析36例耳垂瘢痕疙瘩患者手术切除后联合放射治疗的复发情况。所有病例均行瘢痕疙瘩切除，手术切口一期缝合。术后，患者在5至7天内分3等份剂量接受1800 cGy的放射治疗。我们的大多数患者是年轻的黑人女性，因耳垂穿孔继发瘢痕疙瘩。在平均随访5.6年的36例患者中，仅发现1例（2.8%）复发。所有患者至少随访2年。本系列中未观察到严重并发症。然而，1例患者出现放射性皮炎，随后出现片状色素减退。我们得出结论，手术切除后联合放射治疗是控制耳垂区域瘢痕疙瘩复发的一种安全有效的方法。
