Short communication, Note

Post-otoplasty Ear Keloid

Milodar Kujundžić ; Klinika za otorinolaringologiju i kirurgiju glave i vrata, KBC Rijeka, Rijeka
Jelena Vukelić ; Klinika za otorinolaringologiju i kirurgiju glave i vrata, KBC Rijeka, Rijeka
Niko Cvjetković ; Klinika za otorinolaringologiju i kirurgiju glave i vrata, KBC Rijeka, Rijeka
Tamara Braut ; Klinika za otorinolaringologiju i kirurgiju glave i vrata, KBC Rijeka, Rijeka
Goran Malvić ; Klinika za otorinolaringologiju i kirurgiju glave i vrata, KBC Rijeka, Rijeka

Abstract

Aim: Prominent ear represents one of the most common aesthetic deformations of the auricle. The ideal time for its treatment is the pre-school age. The approach to each patient is individual and includes a detailed examination and thorough medical history. Surgical treatment always uses a combination of several techniques, including those after Mustard, Converse, Bear, Pitanguy, Šercer, Stenström et al. It is very rarely followed by some complications, one of them being keloid or excessive scar. Case: An otoplasty after Bear was carried out on the protruding ears of the ten year girl. Eight months after the operation, a minor keloid appeared in view of a post-operative scar which was treated by gel flavonoid. Two years after the operation a large grapelike keloid was found at both auricles. The treatment included excision, intralesional corticosteroids and argon laser therapy. Discussion: Keloids are skin lesions difficult to treat and are highly recidive. So far, no common therapy for keloid treatment has been established. It includes the application of occlusive bandage, intralesional corticosteroid injections, surgery, excision, radiotherapy, laser therapy, interferon therapy, therapy by 5% imiquimod cream, by 5 FU (fluorouracil) and other less utilised therapy aimed at collagen synthesis. Conclusion: The authors used the combined techniques of keloid excision followed by post-operative intralesional corticosteroid injections and the application of argon laser. Additionally, we observed a lack of resources dealing with intralesional corticosteroid applications in children. Therefore, our paper should encourage further research of keloid treatment, following otoplasty in childhood.

Keywords

keloid; otoplasty; prominent ear

Hrčak ID:

84199

URI

https://hrcak.srce.hr/84199

Publication date:

4.6.2012.

Article data in other languages: croatian

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