Analysis of 15 Cases of Auricular Keloids Following Conchal Cartilage Grafts in an Asian Population
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
Recently, rhinoplasty techniques have advanced significantly and are frequently combined with columellar struts using conchal cartilage grafts to sufficiently reshape the nasal tip. For this reason, auricular keloids following harvesting of conchal cartilage grafts are expected to occur with greater frequency. The aim of this study was to share our experiences with auricular keloids and to suggest possible risk factors.
We conducted a retrospective review of patients with pathologically confirmed auricular keloids that were surgically excised with primary closure after conchal cartilage grafts were harvested. Starting between days 21 and 28 postoperatively, patients were instructed to use magnets for approximately 12 h a day for 6 months until adjuvant pressure therapy was completed. Recurrence after treatment was recorded. In all patients, a follow-up period of 18 months was required.
Auricular keloids were successfully treated in 93.3 % of the cases and 6.7 % of the cases had recurrence. The postoperative course was uneventful without exception. There was a male predominance of auricular keloids after conchal cartilage graft harvesting. In addition, a high growth rate as a result of the short duration of the keloid before treatment was seen.
Adjuvant pressure therapy using magnets is useful for treating auricular keloids following conchal cartilage graft harvesting. In addition, surgeons should be careful when performing conchal cartilage harvest to avoid needless injury to the adjacent skin flap.
Level of Evidence IV
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
- Nicholas RS, Falvey H, Lemonas P et al (2012) Patient-related keloid scar assessment and outcome measures. Plast Reconstr Surg 129:648–656 CrossRef
- Park TH, Seo SW, Kim JK, Chang CH (2011) Outcomes of surgical excision with pressure therapy using magnets and identification of risk factors for recurrent keloids. Plast Reconstr Surg 128:431–439 CrossRef
- Froelich K, Staudenmaier R, Kleinsasser N, Hagen R (2007) Therapy of auricular keloids: review of different treatment modalities and proposal for a therapeutic algorithm. Eur Arch Otorhinolaryngol 264:1497–1508 CrossRef
- Bermueller C, Rettinger G, Keck T (2010) Auricular keloids: treatment and results. Eur Arch Otorhinolaryngol 267:575–580 CrossRef
- Cosman B, Wolff M (1974) Bilateral earlobe keloids. Plast Reconstr Surg 53:540–543 CrossRef
- Park TH, Seo SW, Kim JK, Chang CH (2012) Clinical characteristics of facial keloids treated with surgical excision followed by intra- and postoperative intralesional steroid injections. Aesthetic Plast Surg 36:169–173 CrossRef
- Chang CH, Song JY, Park JH, Seo SW (2005) The efficacy of magnetic disks for the treatment of earlobe hypertrophic scar. Ann Plast Surg 54:566–569 CrossRef
- Park TH, Seo SW, Kim JK, Chang CH (2012) Earlobe keloids: classification according to gross morphology determines proper surgical approach. Dermatol Surg 38:406–412 CrossRef
- Analysis of 15 Cases of Auricular Keloids Following Conchal Cartilage Grafts in an Asian Population
Aesthetic Plastic Surgery
Volume 37, Issue 1 , pp 102-105
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- Conchal cartilage
- Industry Sectors
- Author Affiliations
- 1. Department of Plastic and Reconstructive Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, 108 Pyung-Dong, Jongno-Gu, Seoul, 110-746, Korea
- 2. Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University, Seoul, Korea