Skip to main content

Advertisement

Log in

Analysis of 15 Cases of Auricular Keloids Following Conchal Cartilage Grafts in an Asian Population

  • Cosmetic
  • Aesthetic
  • Published:
Aesthetic Plastic Surgery Aims and scope Submit manuscript

An Erratum to this article was published on 23 April 2013

Abstract

Background

Recently, rhinoplasty techniques have advanced significantly and are frequently combined with columellar struts using conchal cartilage grafts to sufficiently reshape the nasal tip. For this reason, auricular keloids following harvesting of conchal cartilage grafts are expected to occur with greater frequency. The aim of this study was to share our experiences with auricular keloids and to suggest possible risk factors.

Methods

We conducted a retrospective review of patients with pathologically confirmed auricular keloids that were surgically excised with primary closure after conchal cartilage grafts were harvested. Starting between days 21 and 28 postoperatively, patients were instructed to use magnets for approximately 12 h a day for 6 months until adjuvant pressure therapy was completed. Recurrence after treatment was recorded. In all patients, a follow-up period of 18 months was required.

Results

Auricular keloids were successfully treated in 93.3 % of the cases and 6.7 % of the cases had recurrence. The postoperative course was uneventful without exception. There was a male predominance of auricular keloids after conchal cartilage graft harvesting. In addition, a high growth rate as a result of the short duration of the keloid before treatment was seen.

Conclusions

Adjuvant pressure therapy using magnets is useful for treating auricular keloids following conchal cartilage graft harvesting. In addition, surgeons should be careful when performing conchal cartilage harvest to avoid needless injury to the adjacent skin flap.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Nicholas RS, Falvey H, Lemonas P et al (2012) Patient-related keloid scar assessment and outcome measures. Plast Reconstr Surg 129:648–656

    Article  PubMed  CAS  Google Scholar 

  2. Park TH, Seo SW, Kim JK, Chang CH (2011) Outcomes of surgical excision with pressure therapy using magnets and identification of risk factors for recurrent keloids. Plast Reconstr Surg 128:431–439

    Article  PubMed  CAS  Google Scholar 

  3. Froelich K, Staudenmaier R, Kleinsasser N, Hagen R (2007) Therapy of auricular keloids: review of different treatment modalities and proposal for a therapeutic algorithm. Eur Arch Otorhinolaryngol 264:1497–1508

    Article  PubMed  CAS  Google Scholar 

  4. Bermueller C, Rettinger G, Keck T (2010) Auricular keloids: treatment and results. Eur Arch Otorhinolaryngol 267:575–580

    Article  PubMed  Google Scholar 

  5. Cosman B, Wolff M (1974) Bilateral earlobe keloids. Plast Reconstr Surg 53:540–543

    Article  PubMed  CAS  Google Scholar 

  6. Park TH, Seo SW, Kim JK, Chang CH (2012) Clinical characteristics of facial keloids treated with surgical excision followed by intra- and postoperative intralesional steroid injections. Aesthetic Plast Surg 36:169–173

    Article  PubMed  Google Scholar 

  7. Chang CH, Song JY, Park JH, Seo SW (2005) The efficacy of magnetic disks for the treatment of earlobe hypertrophic scar. Ann Plast Surg 54:566–569

    Article  PubMed  CAS  Google Scholar 

  8. Park TH, Seo SW, Kim JK, Chang CH (2012) Earlobe keloids: classification according to gross morphology determines proper surgical approach. Dermatol Surg 38:406–412

    Article  PubMed  CAS  Google Scholar 

Download references

Conflict of interest

The authors have no conflicts of interest to disclose.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Choong Hyun Chang.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Park, T.H., Park, J.H., Kim, Jk. et al. Analysis of 15 Cases of Auricular Keloids Following Conchal Cartilage Grafts in an Asian Population. Aesth Plast Surg 37, 102–105 (2013). https://doi.org/10.1007/s00266-012-9998-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00266-012-9998-7

Keywords

Navigation