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Int Arch Otorhinolaryngol. 2012 Apr;16(2):195-200. doi: 10.7162/S1809-97772012000200007.

Treatment of retroauricular keloids: Revision of cases treated at the ENT service of HC/UFPR.

Author information

1
Graduation in Medicine by UFPR /Federal University of Parana State, Brazil . Resident Doctor for Otolaryngology Service of HC/UFPR - Clinics Hospital/ Federal University of Parana State in Brazil.
2
ENT by ABORL/Brazilian Association of Otolaryngology and Cervicofacial Surgery. Otolaryngologist Doctor.
3
Academic of Medicine from UFPR/Federal University of Parana State, Brazil.
4
Master of Surgery by UFPR/Federal University of Parana State, Brazil. Responsible for the Skull Maxillofacial Surgery Sector of Otolaryngology Service of HC/UFPR - Clinics Hospital/ Federal University of Parana State in Brazil.
5
Ph.D. in Otolaryngology by Escola Paulista de Medicina (Medicine School of São Paulo State), Brazil (1986). Entitled Professor at Universidade Federal do Paraná / Federal University at Parana State, Doctor-in-Chief for Otolaryngology Service from HC/UFPR - Clinics Hospital/ Federal University of Parana State, Brazil.

Abstract

in English, German

INTRODUCTION:

 Keloids are benign tumors arising from abnormal healing of the skin, and there are several procedures available for their treatment.

OBJECTIVE:

 The objective of this study was to evaluate the outcomes of patients undergoing treatment of keloids after ear, nose, and throat (ENT) surgeries at our service center.

METHOD:

 We conducted thorough, retrospective and prospective analysis of records of patients undergoing treatment of retroauricular keloids at our center.

RESULTS:

 Nine patients were evaluated, and 6 underwent resection and adjuvant beta-therapy, 2 underwent resection with local application of corticosteroids, and only 1 underwent resection without adjuvant therapy. There was no recurrence of keloids in patients that were treated with beta-therapy in the early postoperative period. One patient had relapsed despite corticosteroid administration and late beta-therapy.

DISCUSSION:

 Several techniques have been used for the treatment of retroauricular keloids, and beta-therapy is thought to yield the best results, followed by the use of intralesional corticosteroids.

CONCLUSION:

 Treatment of retroauricular keloids remains a challenge. While new techniques are being developed, resection followed by early beta-therapy is still the best treatment option.

KEYWORDS:

ear; keloid; treatment outcome

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