Surg Cosmet Dermatol. 2011;3(2):109-111
Introduction: Surgery combined with post-operative intralesional corticosteroid injections is considered a good treatment for keloids that occur in the ears, yet the recurrence rate for this procedure is not yet well established. There is no consensus about the minimum number of corticosteroid infiltrations needed to decrease the number of recurrences.
Objective: To correlate the rate of recurrence among patients who had surgery and postoperative intralesional corticosteroid injections to treat keloids in the ear lobe with the number of injections.
Methods: Retrospective study of 41 patients who underwent surgical excision of ear
keloids combined with up to two (Group A) or 3 or more (Group B) triamcinolone ace-
tonide intralesional injections sessions.
Results: The total recurrence rate was 37% (13% in patients from Group A and 24% in
patients from Group B). Results were not more effective when the number of injections
was equal to or higher than 3 (p = 0.74).
Conclusions: There was no statistical significance in the number of post-operative corticosteroid intralesional injections in the treatment of ear keloids. Further studies are necessary to corroborate these results.
Keywords: KELOID, ADRENAL CORTEX HORMONES, AMBULATORY SURGICAL PROCEDURES
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