Achieving Recurrence-Free Pinna Keloids: Precision Surgery Combined with Targeted Steroid Therapy
Author:
Salman Khan
Department of Otorhinolaryngology, Era's Lucknow Medical College and Hospital, Era University, Lucknow, UP, India - 226003
Anuja Bhargava
Department of Otorhinolaryngology, Era's Lucknow Medical College and Hospital, Era University, Lucknow, UP, India - 226003
Rajeev Kumar Gupta
Department of Otorhinolaryngology, Era's Lucknow Medical College and Hospital, Era University, Lucknow, UP, India - 226003
Eshani Dutta
Department of Otorhinolaryngology, Era's Lucknow Medical College and Hospital, Era University, Lucknow, UP, India - 226003
S.M. Faiz
Department of Otorhinolaryngology, Era's Lucknow Medical College and Hospital, Era University, Lucknow, UP, India - 226003
Saurabh Srivastava
Department of Otorhinolaryngology, Era's Lucknow Medical College and Hospital, Era University, Lucknow, UP, India - 226003
Abstract:
Purpose: Pinna
keloids are a fairly common abnormal scar formation which are difficult to
manage because of their tendency to recur. We are presenting a case of young
female with bilateral pinna keloids and its management, which was treated by
careful surgical excision along with postoperative corticosteroid injection.
Case: A 24-year
young female developed progressively enlarging swellings in bilateral pinna
helix after piercing. Complete surgical excision was performed with careful
dissection to ensure complete removal without leaving behind any residual
tissue. Intralesional triamcinolone injection was also administered immediately
after surgery and steroid injection was continued in a tapered dosage over six
months after excision.
Outcome: The
post-operative period was uneventful. The patient showed excellent cosmetic
outcome with symmetrical pinnae after surgery and no recurrence was noted even
after 24-months of regular follow-up.
Conclusion:
Meticulous surgical removal along with adjuvant steroid injection gives highly
satisfactory cosmetic results in the management of pinna keloids.
Keywords:
Pinna keloid, steroid injection, recurrence, cosmetic result.