Ríos-Serna KM, del Ojo-Cordero D

Language: Portugués
References: 16
Page: 188-193
PDF size: 369.56 Kb.

ABSTRACT

Introduction: The auricle is a risk location for the appearance of keloids (K) and is one of the most difficult pathologies to treat due to the high percentage of recurrences, which show up to 100% in single treatments and 50% in combined treatments. Objective: Our objective is to review our experience and to propose a possible treatment of keloid scars in the auricle. Material and methods: We have seen auricular keloids (AK) over the past 10 years, collecting epidemiology, wound etiology, treatment and outcomes. Results: Of the 23 patients and 28 auricles affected by keloids, the most frequent age was between 20 to 29 years. 65% were women, 80% of whom were phototype III; 53.5% of AK affected the right ear, AK occurred 56% of the time in the lobe, 28% in the helix and 16% of AK were retroauricular. 73.9% of the time the cause was piercing and use of earrings and 17.4% of patients had a surgical background. Of the total number of patients, 34.8% had previous treatments and 65.2% did not undergo any treatment. The treatment was infiltration of triamcinolone (three sessions), followed by Neodimio Yag laser (three sessions) and finally CO2 laser. It was subsequently maintained with presotherapy for one year to decrease the chances of relapse. No recurrence was found in any of the patients. Conclusions: In this study we have demonstrated the safety and efficacy of a combination of therapies for auricular keloids and propose a possible successful therapy.

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