Publication date: April 9, 2009 Publisher: Han Xuefeng (accessed 894 times).

Ear keloids are mostly caused by ear piercing, which is not uncommon in clinic. Its treatment is different from other parts of keloid, not only to prevent the recurrence of keloid, but also to consider the shape of the ear, which is a difficult problem in dermatology and plastic surgery. Single treatment methods, such as surgery, local injection of hormones, radiotherapy and local application of silicone membrane, are difficult to achieve good results, so two or more combined treatment methods are often used, but no matter which surgical method, predecessors have emphasized that keloids must be completely removed. The operation method adopted by the author is slightly different from that of the predecessors. The operation was carried out in the keloid, emphasizing the removal of all hardened scars instead of all scars, and deliberately leaving a scar tissue at the edge of the keloid for suture. This method not only does not add new scars, but also avoids stimulating the surrounding tissues with keloid tendency to produce inflammatory reactions, resulting in larger keloids than the original ones, while retaining more scar flaps, which is beneficial to ear plastic surgery. Judging from the good effect after operation, it is not necessary to completely remove the scar, and this operation has the advantages of good blood supply for the scar flap, no deformation of the ear, inconspicuous scar and high cure rate.

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