Abstract
BACKGROUND: Surgical removal is the primary method for the clinical treatment of ear keloids. However, there are numerous surgical options available, and no standardized approach in the literature. OBJECTIVES: This study aimed to evaluate the impact of five-blade core excision on the removal of ear keloids. METHODS: A preliminary study involving 11 patients (21 lesions) with ear keloids was conducted between January 2023 and December 2023. Five-blade core excision was performed; superficial electron beam radiotherapy was administered at a dose of 4 Gy for 5 post-operative consecutive days, and pressure clips were applied for 6 months. The Vancouver Scar Scale (VSS) and the Patient and Observer Scar Assessments Scale (POSAS) were used to assess the results. RESULTS: The mean age of the patients was 24.36 years (18-44 years). Postoperative follow-up ranged from 20 months. The patients underwent 5 days of postoperative radiotherapy and pressure clips for 6 months. Nine patients had no recurrence, whereas two patients had a mild recurrence (one patient rejected radiotherapy). The VSS and POSAS scores significantly decreased (p < 0.01). CONCLUSION: Five-blade core excision combined with pressure and superficial electron beam radiotherapy demonstrates effective therapeutic outcomes for ear keloid.