2006, Number 2
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Cir Plast 2006; 16 (2)
Treatment of the ear keloid scars
Cuenca-Pardo J, Hernández-Valverde CB, Álvarez-Díaz CJ, Luján-Olivar FS, Escalona-Mancilla A
Language: Spanish
References: 15
Page: 78-83
PDF size: 161.87 Kb.
ABSTRACT
Keloid scars are defined as those pathological scars with an abnormal collagen deposit. They are difficult to treat and there is no consensus for its treatment. The ear is one of the structures where keloids are formed more frequently. The objective of this work is to show the knowledge that we have acquired in the handling of post burn keloid scars in ears, treated with scar resection and reconstruction with retroauricular flap. In the Magdalena de las Salinas Traumatology Hospital of the IMSS, in the period from January, 2003 to December, 2004 we operated on 8 patients (16 ears) seven men and a woman, with keloid scars in their ears. The patients were treated in two surgical stages: in the first, a complete resection of the scar was carried out reconstructing with a retroauricular flap to the posterior pedicle. During the second that was carried out 21 days after cutting the pedicle of the flap, and remodeling the ear. None of the patients presented relapse of the deformity and in all it was possible to reconstruct their ears satisfactorily. We conclude that the proposed procedure is a secure and effective alternative and that it avoids the relapses of the post burn keloid ear scars.
REFERENCES
Lee Y. A new surgical treatment of keloid: Keloid core excision. Ann Plast Surg 2001; 46(2): 135-140.
Omo-Dare P. Genetic studies on keloids. J Nat Med Assoc 1975; 67: 428-432.
Alster TS. Hyper tropic scars and keloids. Am J of Clin Dermatology 2003; 4: 235-243.
Felman J. Facial burns. In: McCarthy J. Plastic Surgery. Philadelphia: WB Saunders 1990: 2153-2236.
Ship AG, Weiss PR, Mincer FR et al. Sternal keloids: successful treatment employing surgery and adjunctive radiation. Ann Plast Surg 1993; 31: 481-487.
Lawrence NT. In search of the optimal treatment of keloids: Report of a series and a review of the literature. Ann Plast Surg 1991; 27: 164-178.
Berman B, Bieley HC. Adjunct therapies to surgical management of keloids. Dermatol Surg 1996; 22: 126-13.
Cohen IK, Diegelmann RF. The biology of keloid and hypertrophic scar and influence of corticosteroids. Clin Plast Surg 1977; 4: 297-302.
Brent B. The role of pressure therapy in management of earlobe keloids. Ann Plast Surg 1978; 1: 579-581.
Berman B, Duncan MR. Short-term keloid treatment in vivo and human interferon alpha-26 results in selective and persistent normalization of keloidal fibroblast collagen, glycosaminoglycan and collagenase production in vitro. J Am Acad Dermatol 1989; 21: 694-702.
Cohen IK, Keiser HR, Sjoerdsma A. Collagen synthesis in human keloid and hypertrophic scars. Surg Forum 1971; 22: 488-489.
Masselis M. Extensive keloids in the auricle surgical treatment. Ann Burn Fire Disast 1999; 4: 1-9.
Friedman RM. Abnormal scars. Select Read Plast Surg 1995; 8: 20-27.
Diegelmann RF, Cohen IK, McCoy BJ. Growth kinetics and collagen synthesis of normal skin, normal scar, and keloid fibroblasts in vitro. J Cell Physiol 1979; 98: 341-346.
Murray JC, Pollack S, Pinnell SR. Keloids. A review. J Am Acad Dermatol 1981; 4: 461-470.