Combination Between Surgical Excision and Pressure Therapy for Ear Keloids in a Pediatric Population: Clinical Results

Ibrahim Cherry; Tamara Sadighi; Diane Franck

doi:doi:10.11648/j.js.20210903.12

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Combination Between Surgical Excision and Pressure Therapy for Ear Keloids in a Pediatric Population: Clinical Results

Ibrahim Cherry, Tamara Sadighi, Diane Franck

Published in Journal of Surgery (Volume 9, Issue 3)

Received: 11 April 2021 Accepted: 22 April 2021 Published: 8 May 2021

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Abstract

Introduction: A single effective therapeutic option for ear keloids has yet to be discovered. Many treatments have been studied with variable effectiveness, side effects and complications. Pressure therapy using custom molded clip is a non-invasive treatment with minimal side effects. In the present study, the recurrence rate of a treatment protocol combining excisional surgery and pressure therapy on ear keloids is being studied in a pediatric population. Materials and Methods: The charts of 22 consecutive patients treated between January 2008 and January 2019 were reviewed. All patients were under 18 years of age and clinically diagnosed with, at least, one keloid of the ear. They all underwent complete surgical excision with primary closure followed by early postoperative pressure therapy using custom molded clips. The collected data included patient age at time of diagnosis and surgery, sex, skin type, familial and personal history, etiology and anatomical location of the keloid, and recurrence. Patients or parents were interviewed by phone call and reviewed by an independent examiner to evaluate the current evolution of their scar (s). Results: 22 patients were included in the study, representing a total of 26 keloids of the ear. The male to female ratio was of 3:4. The mean age at diagnosis was 9.7 years old. The mean follow-up time was 5.2 years. Four ears needed a single corticoid injection in addition to the initial protocol. Follow-up observations showed a recurrence rate of 15.4%. Conclusion: Excisional surgery combined with pressure therapy is an effective and well-tolerated treatment for ear keloids in a pediatric population. Although residual symptoms are sometimes observed, it seems to be better tolerated than other, more invasive, therapies.

Published in	Journal of Surgery (Volume 9, Issue 3)
DOI	10.11648/j.js.20210903.12
Page(s)	103-108
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Ear Keloids, Pediatric, Surgical Excision, Pressure Therapy, Recurrence Rate

References

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APA Style

Ibrahim Cherry, Tamara Sadighi, Diane Franck. (2021). Combination Between Surgical Excision and Pressure Therapy for Ear Keloids in a Pediatric Population: Clinical Results. Journal of Surgery, 9(3), 103-108. https://doi.org/10.11648/j.js.20210903.12

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ACS Style

Ibrahim Cherry; Tamara Sadighi; Diane Franck. Combination Between Surgical Excision and Pressure Therapy for Ear Keloids in a Pediatric Population: Clinical Results. J. Surg. 2021, 9(3), 103-108. doi: 10.11648/j.js.20210903.12

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AMA Style

Ibrahim Cherry, Tamara Sadighi, Diane Franck. Combination Between Surgical Excision and Pressure Therapy for Ear Keloids in a Pediatric Population: Clinical Results. J Surg. 2021;9(3):103-108. doi: 10.11648/j.js.20210903.12

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@article{10.11648/j.js.20210903.12,
  author = {Ibrahim Cherry and Tamara Sadighi and Diane Franck},
  title = {Combination Between Surgical Excision and Pressure Therapy for Ear Keloids in a Pediatric Population: Clinical Results},
  journal = {Journal of Surgery},
  volume = {9},
  number = {3},
  pages = {103-108},
  doi = {10.11648/j.js.20210903.12},
  url = {https://doi.org/10.11648/j.js.20210903.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20210903.12},
  abstract = {Introduction: A single effective therapeutic option for ear keloids has yet to be discovered. Many treatments have been studied with variable effectiveness, side effects and complications. Pressure therapy using custom molded clip is a non-invasive treatment with minimal side effects. In the present study, the recurrence rate of a treatment protocol combining excisional surgery and pressure therapy on ear keloids is being studied in a pediatric population. Materials and Methods: The charts of 22 consecutive patients treated between January 2008 and January 2019 were reviewed. All patients were under 18 years of age and clinically diagnosed with, at least, one keloid of the ear. They all underwent complete surgical excision with primary closure followed by early postoperative pressure therapy using custom molded clips. The collected data included patient age at time of diagnosis and surgery, sex, skin type, familial and personal history, etiology and anatomical location of the keloid, and recurrence. Patients or parents were interviewed by phone call and reviewed by an independent examiner to evaluate the current evolution of their scar (s). Results: 22 patients were included in the study, representing a total of 26 keloids of the ear. The male to female ratio was of 3:4. The mean age at diagnosis was 9.7 years old. The mean follow-up time was 5.2 years. Four ears needed a single corticoid injection in addition to the initial protocol. Follow-up observations showed a recurrence rate of 15.4%. Conclusion: Excisional surgery combined with pressure therapy is an effective and well-tolerated treatment for ear keloids in a pediatric population. Although residual symptoms are sometimes observed, it seems to be better tolerated than other, more invasive, therapies.},
 year = {2021}
}

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TY - JOUR
T1 - Combination Between Surgical Excision and Pressure Therapy for Ear Keloids in a Pediatric Population: Clinical Results
AU - Ibrahim Cherry
AU - Tamara Sadighi
AU - Diane Franck
Y1 - 2021/05/08
PY - 2021
N1 - https://doi.org/10.11648/j.js.20210903.12
DO - 10.11648/j.js.20210903.12
T2 - Journal of Surgery
JF - Journal of Surgery
JO - Journal of Surgery
SP - 103
EP - 108
PB - Science Publishing Group
SN - 2330-0930
UR - https://doi.org/10.11648/j.js.20210903.12
AB - Introduction: A single effective therapeutic option for ear keloids has yet to be discovered. Many treatments have been studied with variable effectiveness, side effects and complications. Pressure therapy using custom molded clip is a non-invasive treatment with minimal side effects. In the present study, the recurrence rate of a treatment protocol combining excisional surgery and pressure therapy on ear keloids is being studied in a pediatric population. Materials and Methods: The charts of 22 consecutive patients treated between January 2008 and January 2019 were reviewed. All patients were under 18 years of age and clinically diagnosed with, at least, one keloid of the ear. They all underwent complete surgical excision with primary closure followed by early postoperative pressure therapy using custom molded clips. The collected data included patient age at time of diagnosis and surgery, sex, skin type, familial and personal history, etiology and anatomical location of the keloid, and recurrence. Patients or parents were interviewed by phone call and reviewed by an independent examiner to evaluate the current evolution of their scar (s). Results: 22 patients were included in the study, representing a total of 26 keloids of the ear. The male to female ratio was of 3:4. The mean age at diagnosis was 9.7 years old. The mean follow-up time was 5.2 years. Four ears needed a single corticoid injection in addition to the initial protocol. Follow-up observations showed a recurrence rate of 15.4%. Conclusion: Excisional surgery combined with pressure therapy is an effective and well-tolerated treatment for ear keloids in a pediatric population. Although residual symptoms are sometimes observed, it seems to be better tolerated than other, more invasive, therapies.
VL - 9
IS - 3
ER -

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Author Information

Ibrahim Cherry

Hopital Universitaire des Enfants Reine Fabiola, Université Libre de Bruxelles, Brussels, Belgium
Tamara Sadighi

Hopital Universitaire des Enfants Reine Fabiola, Université Libre de Bruxelles, Brussels, Belgium
Diane Franck

Hopital Universitaire des Enfants Reine Fabiola, Université Libre de Bruxelles, Brussels, Belgium

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APA Style

Ibrahim Cherry, Tamara Sadighi, Diane Franck. (2021). Combination Between Surgical Excision and Pressure Therapy for Ear Keloids in a Pediatric Population: Clinical Results. Journal of Surgery, 9(3), 103-108. https://doi.org/10.11648/j.js.20210903.12

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ACS Style

Ibrahim Cherry; Tamara Sadighi; Diane Franck. Combination Between Surgical Excision and Pressure Therapy for Ear Keloids in a Pediatric Population: Clinical Results. J. Surg. 2021, 9(3), 103-108. doi: 10.11648/j.js.20210903.12

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AMA Style

Ibrahim Cherry, Tamara Sadighi, Diane Franck. Combination Between Surgical Excision and Pressure Therapy for Ear Keloids in a Pediatric Population: Clinical Results. J Surg. 2021;9(3):103-108. doi: 10.11648/j.js.20210903.12

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@article{10.11648/j.js.20210903.12,
  author = {Ibrahim Cherry and Tamara Sadighi and Diane Franck},
  title = {Combination Between Surgical Excision and Pressure Therapy for Ear Keloids in a Pediatric Population: Clinical Results},
  journal = {Journal of Surgery},
  volume = {9},
  number = {3},
  pages = {103-108},
  doi = {10.11648/j.js.20210903.12},
  url = {https://doi.org/10.11648/j.js.20210903.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20210903.12},
  abstract = {Introduction: A single effective therapeutic option for ear keloids has yet to be discovered. Many treatments have been studied with variable effectiveness, side effects and complications. Pressure therapy using custom molded clip is a non-invasive treatment with minimal side effects. In the present study, the recurrence rate of a treatment protocol combining excisional surgery and pressure therapy on ear keloids is being studied in a pediatric population. Materials and Methods: The charts of 22 consecutive patients treated between January 2008 and January 2019 were reviewed. All patients were under 18 years of age and clinically diagnosed with, at least, one keloid of the ear. They all underwent complete surgical excision with primary closure followed by early postoperative pressure therapy using custom molded clips. The collected data included patient age at time of diagnosis and surgery, sex, skin type, familial and personal history, etiology and anatomical location of the keloid, and recurrence. Patients or parents were interviewed by phone call and reviewed by an independent examiner to evaluate the current evolution of their scar (s). Results: 22 patients were included in the study, representing a total of 26 keloids of the ear. The male to female ratio was of 3:4. The mean age at diagnosis was 9.7 years old. The mean follow-up time was 5.2 years. Four ears needed a single corticoid injection in addition to the initial protocol. Follow-up observations showed a recurrence rate of 15.4%. Conclusion: Excisional surgery combined with pressure therapy is an effective and well-tolerated treatment for ear keloids in a pediatric population. Although residual symptoms are sometimes observed, it seems to be better tolerated than other, more invasive, therapies.},
 year = {2021}
}

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