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

耳后瘢痕疙瘩的治疗:HC/UFPR耳鼻喉科病例回顾

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Abstract

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.

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