Subscribe to RSS
DOI: 10.1055/s-0041-1728579
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.
Address for correspondence
Publication History
Article published online:
13 May 2021
© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany