Auricular keloid management: clinical outcome of intralesional excision and postoperative triamcinolone intralesional injection

Background: Various treatments such as surgical excision, steroid injection and pressure therapy are available for auricular keloid. Objectives: To evaluate the clinical outcome of intralesional excision and postoperative triamcinolone intralesional injection (TA ILI). Methods: We conducted a surgery records and charts review of patients who underwent auricular keloid surgery. We also evaluated the patient satisfaction using questionnaire (0-10). Results: A total of 18 Korean patients (2 males and 16 females), mean age of 26.5 years, with total 20 lesions were evaluated (2 patients had bilateral lesions). Lobular type (50%) was the most common, followed by anterior/posterior button (15%), wrap-around (15%), dumbbell (10%), and sessile type (10%). Total recurrence rate was 5% within 24 months follow-up period and mean satisfaction score was 9.6. There was no difference in recurrence rate depending on location, type and duration of preoperative lesion of auricular keloid. Conclusion: We confirmed that TA ILI after intralesional excision can be effective for auricular keloid management. Type, location, duration of preoperative lesion of auricular keloid were not found to contribute to recurrence rates.