Long-term results for the treatment of auricular keloids with a multimodal therapy regimen

Introduction The therapy of auricular keloids is a great challenge due to the high recurrence rate and the psychological burden for patients with auricular keloids. There is a lack of literature regarding long-term studies for therapy evaluation with follow-up periods of more than two years. The aim of the study was to evaluate the long-term results of a therapy scheme for auricular keloids that has been established in our department for years.

Methods From 02/2013 to 07/2017, 27 patients with 37 auricular keloids underwent surgery at our clinic. All patients received an intramarginal resection, followed by one intraoperative and five postoperative intralesional Triamcinolon injections over a period of six months, and subsequently the application of an individual pressure splint over a period of six months. The follow-up examination included the clinical follow-up, photo documentation and the measurement of quality of life after therapy using a specific questionnaire for auricular keloids (KIBI-21).

Results The study included 17 women and 10 men. The mean age at the time of surgery was 25.8 years (13-43 years). The mean follow-up time was 68.9 months (95-CI: 57.3-80.4). In the follow-up period, 8 (21.6 % ) patients presented a recurrence of their keloid, all of which were manageable with intralesional cortisone injections. The KIBI-21 showed an improvement for the quality of life with a mean value of 20.2 (95-KI 19.3-30.2).

Conclusion This is the first study presenting long-term data of more than 2 years of a multimodal treatment regimen in auricular keloids. The multimodal therapeutic regimen showed a significant reduction of the recurrence rate in auricular keloid formation with an improvement of the patients´ quality of life.

Poster-PDF A-1061.pdf

Conflict of interest

Der Erstautor gibt keinen Interessenskonflikt an.

Publication History

Article published online:
13 May 2021