Objectives: 1. Understand the characteristics of ear helix keloid scars.
2. Develop an appropriate treatment plan for ear helix keloid scars.
3. Understand laser treatment for ear helix keloid scars.
Introduction: Keloid scars can occur in the ear, shoulder and deltoid area, chest, abdomen, perineum, face and neck, but most commonly in the earlobe. Most earlobe keloid scars occur on the lobule area. In recent years, however, piercing and earrings have become more common in the upper part of the ear as well as in the lower part of the ear, resulting in increased keloid scars in the helix area of the ear. The helix area in earlobe is often connected to or composed of the cartilage, unlike the lobule area. Therefore, surgical methods often cause deformation of the ear.
Materials / method: Carbon dioxide laser has less bleeding during operation, less risk of infection, and is very effective at removing soft tissue. Especially, ultrapulsed carbon dioxide laser is known to have a short pulse duration and less damage to surrounding tissue during laser treatment. We treated keloid scars in the ear helix by vaporization with carbon dioxide laser after local anesthesia. After the laser treatment, corticosteroid injection was performed every 1-4 weeks.
Results: We followed up for more than 6 months, but the recurrence of keloid scars or side effects of treatment were observed rarely.
Conclusion: I think carbon dioxide laser in conjunction with corticosteroids as an effective and safe method for the treatment of ear helix keloid scars.
Disclosures
Did you receive any funding to support your research for this TOPIC?
No
Were you provided with any honoraria, payment or other compensation for your work on this study?
No
Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No
Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No
This work was not supported by any direct or non direct funding. It is under the author's own responsability