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A Unique Multimodal Treatment for Ear Keloids

Keloids on the ear are increasing in frequency due to the popularity of multiple ear piercings. This is a particular concern because keloids are known to develop secondary to piercings, and can involve both the upper third of the pinna and the earlobe. These keloids can grow aggressively, enveloping surrounding tissue and causing pain and distress for patients. Many existing treatments do not provide full resolution, and because of this, multimodal treatments are increasingly seen as better options than the traditional surgical treatment.

A recent study explored the approach of surgical excision followed by the application of platelet-rich plasma (PRP) to the surgical site along with the addition of adjuvant superficial radiation therapy (SRT). The authors used this treatment plan with 49 patients with 50 keloids over a two-year span in the author’s private practice. Thirty percent of these keloids were a result of ear piercings. The 35 women and 14 male patients were African American, except 5 who self-reported as Latino. A significant number of patient outcomes (n = 47; 95%) were considered successfully resolved.

The authors note that while the preliminary findings of this retrospective analysis are encouraging, limitations of this study include a small sample size and on average short follow-up of 2 years. However, based on these findings their protocol merits further investigation in the treatment and management of ear keloids.


Byline: Martha L. Sikes, MS, RPh, PA-C

Posted: June 21, 2017

Source: Ovid Insights
Adapted from the original article.

[Image: DermNet New Zealand]

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