Early Postoperative Magnet Application Combined with Hydrocolloid Dressing for the Treatment of Earlobe Keloids
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To prevent the recurrence of earlobe keloids after surgical removal, a reliable and safe postoperative treatment method is critical. To the authors’ knowledge, no studies have elucidated the most effective postoperative dressing method for preventing the recurrence of earlobe keloids. This study aimed to compare keloid recurrence rates in patients whose keloids were dressed using conventional methods (plain gauze or a polyvinyl alcohol sponge) with those of a matched cohort of patients whose keloids were dressed using magnets combined with hydrocolloid materials.
This observational case–control study compared a retrospective cohort of patients whose keloids were dressed using conventional methods with a matched prospective cohort of patients whose keloids were dressed using magnets combined with hydrocolloid materials. The study included patients with pathologically confirmed earlobe keloids that were surgically excised with primary closure. Patients 8 years of age or older underwent adjuvant pressure therapy with magnets at the study hospital. Patients were excluded from the study if they were unavailable for follow-up evaluation, if they had received additional adjuvant therapy during treatment, or if histologic confirmation of a keloid was not obtained. Matched-pair analysis was performed using the McNemar test. Treatment outcome was evaluated as recurrence or nonrecurrence.
Overall, 9 (11.2 %) of the 80 study patients experienced recurrence. The recurrence rate was significantly lower in the matched case group (2 of 40, 5 %) than in the matched control group (7 of 40, 17.5 %) during the follow-up period of 18 months (p = 0.0253).
The authors’ novel dressing of magnets and hydrocolloid materials appears to be effective in reducing earlobe keloid recurrence.
Level of Evidence III
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- Rosen DJ, Patel MK, Freeman K, Weiss PR (2007) A primary protocol for the management of ear keloids: results of excision combined with intraoperative and postoperative steroid injections. Plast Reconstr Surg 120:1395–1400 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
- 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
- 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
- Park TH, Park JH, Kim JK, Seo SW, Rah DK, Chang CH (2012) Analysis of 15 cases of auricular keloids following conchal cartilage grafts in an Asian population. Aesthetic Plast Surg. doi:10.1007/s00266-012-9998-7
- Park TH, Chang CH (2012) Keloid recurrence in pregnancy. Aesthetic Plast Surg 36:1271–1272 CrossRef
- Park TH, Chang CH (2012) Suggestion of end points of complete keloid excision. Aesthetic Plast Surg 36:1395 CrossRef
- Koc E, Arca E, Surucu B, Kurumlu Z (2008) An open, randomized, controlled, comparative study of the combined effect of intralesional triamcinolone acetonide and onion extract gel and intralesional triamcinolone acetonide alone in the treatment of hypertrophic scars and keloids. Dermatol Surg 34:1507–1514 CrossRef
- Sidle DM, Kim H (2011) Keloids: prevention and management. Facial Plast Surg Clin North Am 19:505–515 CrossRef
- Sclafani AP, Gordon L, Chadha M, Romo TIII (1996) Prevention of earlobe keloid recurrence with postoperative corticosteroid injections versus radiation therapy: a randomized, prospective study and review of the literature. Dermatol Surg 22:569–574 CrossRef
- Ogawa R, Yoshitatsu S, Yoshida K, Miyashita T (2009) Is radiation therapy for keloids acceptable? The risk of radiation-induced carcinogenesis. Plast Reconstr Surg 124:1196–1201 CrossRef
- Fish LM, Duncan L, Gray KD, Bell JL, Lewis JM (2012) Primary cutaneous melanoma arising in a long-standing irradiated keloid. Case Rep Surg 2012:165319
- Brent B (1978) The role of pressure therapy in management of earlobe keloids: preliminary report of a controlled study. Ann Plast Surg 1:579–581 CrossRef
- Early Postoperative Magnet Application Combined with Hydrocolloid Dressing for the Treatment of Earlobe Keloids
Aesthetic Plastic Surgery
Volume 37, Issue 2 , pp 439-444
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