Investigation of recurrence rates among earlobe keloids utilizing various postoperative therapeutic modalities

Abstract.

Keloids of the earlobe pose a complex management problem. They are relatively common sequelae of trauma or irritation to the skin of the earlobe, and usually appear in predisposed individuals as benign, smooth, globular outgrowths on one or both sides of the earlobe. Depending on their size, depth, and duration, a number of treatment approaches have been developed and applied over the years with varying degrees of success. Unfortunately, no single therapeutic modality has proven to be 100% efficacious. A retrospective analysis of 24 patients with clinically and histologically documented earlobe keloids was undertaken. In addition, a review of the literature on earlobe keloids was conducted. Surgical excision of keloids with one dose of intraoperative intralesional steroid resulted in no recurrence in 80% of patients at a mean follow-up of 31 months. The addition of radiation to this combination resulted in a recurrence-free rate of 100%. Postoperative pressure therapy, used alone, though claimed to be effective, did not show much benefit. However, patient compliance with this therapeutic modality was poor.