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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.

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Objectives: The purpose of this review is to shed some light on the value of scar mitigation and the efficacy of different lasers employed on postsurgical wounds.

Introduction: Most postsurgical scars are considered esthetically and functionally acceptable. Currently, there is no definite consensus treatment for postsurgical scarring.

Materials / method: A systematic literature review and computational analysis were conducted to identify relevant clinical articles that pertained to the use of lasers for mitigating postsurgical scars. Articles included the National Institutes of Health–National Center for Biotechnology Information–PubMed search and sources cited from relevant studies after 1995. Trials that attributed pre- and posttreatment scores of scar severity based on a verified scar evaluation scale (eg, Patient and Observer Scar Assessment Scale, Vancouver Scar Scale, Global Assessment Scale) were chosen. Clinical assessments varied for

Results: After filtering through a total of 124 studies, 14 relevant studies were isolated and thus included in the review. Studied lasers were as follows: Pulsed dye laser (PDL), carbon dioxide, diode, potassium titanyl phosphate (KTP), and erbium glass (Er-Glass) lasers.

Conclusion: Treatment with lasers in the postsurgical wound healing phase is safe, effective, and advised in mitigation of pathologic scar formation.

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Objectives: In this session i will share my practical experience to an audience how to minimize the surgical scar from surgical and suturing techniques to utilizing post-surgical laser for scar prevention.

Introduction: -

Materials / method: -

Results: -

Conclusion: -

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