A comparative study on recurrence of earlobe keloids after postoperative adjuvant therapy

Hee Joo Kim, Sung Kyu Jung, Kyung Goo Lee, Jae Hwan Kim, Il-Hwan Kim

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: Earlobe keloids are a cosmetically and symptomatically bothersome clinical problem with frequent recurrence despite various treatments including surgical excision and intralesional injection of corticosteroids. Objective: The aim of this study was to compare the results and recurrence of earlobe keloids after various postexcisional adjuvant therapies and to identify the most effective postoperation adjuvant therapy. Methods: We retrospectively evaluated 36 patients with earlobe keloids (n=71) who underwent core excision and a suprakeloidal flap using photographs. One group did not have adjuvant therapy, one group was treated with adjuvant triamcinolone intralesional injection (TRA/ILI), and another group was treated with postoperative irradiation. Results: Among treated 71 keloids, 18 lesions (25.4%) recurred; 42.9% (12/28) of the operation-only group and 19.4% (6/31) of TRA/ILI group showed recurrence. The adjuvant radiation therapy group had no recurrence. The difference in recurrence rate was statistically significant. Conclusion: Postexcisional adjuvant therapy was more effective than excision monotherapy for keloid treatment, and radiation therapy had more sustained effects than that of TRA/ILI.

Original languageEnglish
Pages (from-to)768-772
Number of pages5
JournalKorean Journal of Dermatology
Volume50
Issue number9
Publication statusPublished - 2012 Sep 1

Fingerprint

Keloid
Intralesional Injections
Triamcinolone
Recurrence
Radiotherapy
Therapeutics
Group Psychotherapy
Adrenal Cortex Hormones

Keywords

  • Adjuvant therapy
  • Corticosteroid intralesional injection
  • Earlobe keloid
  • Radiotherapy

ASJC Scopus subject areas

  • Dermatology

Cite this

A comparative study on recurrence of earlobe keloids after postoperative adjuvant therapy. / Kim, Hee Joo; Jung, Sung Kyu; Lee, Kyung Goo; Kim, Jae Hwan; Kim, Il-Hwan.

In: Korean Journal of Dermatology, Vol. 50, No. 9, 01.09.2012, p. 768-772.

Research output: Contribution to journalArticle

Kim, Hee Joo ; Jung, Sung Kyu ; Lee, Kyung Goo ; Kim, Jae Hwan ; Kim, Il-Hwan. / A comparative study on recurrence of earlobe keloids after postoperative adjuvant therapy. In: Korean Journal of Dermatology. 2012 ; Vol. 50, No. 9. pp. 768-772.
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N2 - Background: Earlobe keloids are a cosmetically and symptomatically bothersome clinical problem with frequent recurrence despite various treatments including surgical excision and intralesional injection of corticosteroids. Objective: The aim of this study was to compare the results and recurrence of earlobe keloids after various postexcisional adjuvant therapies and to identify the most effective postoperation adjuvant therapy. Methods: We retrospectively evaluated 36 patients with earlobe keloids (n=71) who underwent core excision and a suprakeloidal flap using photographs. One group did not have adjuvant therapy, one group was treated with adjuvant triamcinolone intralesional injection (TRA/ILI), and another group was treated with postoperative irradiation. Results: Among treated 71 keloids, 18 lesions (25.4%) recurred; 42.9% (12/28) of the operation-only group and 19.4% (6/31) of TRA/ILI group showed recurrence. The adjuvant radiation therapy group had no recurrence. The difference in recurrence rate was statistically significant. Conclusion: Postexcisional adjuvant therapy was more effective than excision monotherapy for keloid treatment, and radiation therapy had more sustained effects than that of TRA/ILI.

AB - Background: Earlobe keloids are a cosmetically and symptomatically bothersome clinical problem with frequent recurrence despite various treatments including surgical excision and intralesional injection of corticosteroids. Objective: The aim of this study was to compare the results and recurrence of earlobe keloids after various postexcisional adjuvant therapies and to identify the most effective postoperation adjuvant therapy. Methods: We retrospectively evaluated 36 patients with earlobe keloids (n=71) who underwent core excision and a suprakeloidal flap using photographs. One group did not have adjuvant therapy, one group was treated with adjuvant triamcinolone intralesional injection (TRA/ILI), and another group was treated with postoperative irradiation. Results: Among treated 71 keloids, 18 lesions (25.4%) recurred; 42.9% (12/28) of the operation-only group and 19.4% (6/31) of TRA/ILI group showed recurrence. The adjuvant radiation therapy group had no recurrence. The difference in recurrence rate was statistically significant. Conclusion: Postexcisional adjuvant therapy was more effective than excision monotherapy for keloid treatment, and radiation therapy had more sustained effects than that of TRA/ILI.

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