Local flaps in the surgical treatment of ear keloid Application.docVIP

 PAGE \* MERGEFORMAT 9 Local flaps in the surgical treatment of ear keloid Application [Abstract] Objective: To investigate the causes of ear and surgical treatment of keloid. Methods: 48 patients (50 ears ear keloid surgical resection, local skin flap. Application of a modified rhomboid flap 27 of the ear, subcutaneous pedicle “ kite “flap 23 ears. surgical incision, the immediate surrounding tissue to the wound with diluted triamcinolone acetonide injection (2-4mg injection of a small amount of infiltration of the wound suture removal 7 days. Results: 2 patients at the application of the helix,” Kite “leather cutting-edge flap of skin necrosis healed after changing dressing well: 5 patients 3 months after surgery a recurrence of keloid trend has to be after the local injection of diluted triamcinolone acetonide improved. ear surgery after surgery can maintain the natural contours of the original ear and anatomy, does not affect the ear appearance. Conclusion: The surgical removal of ear keloid surgery, the line of local skin flap surgery, intraoperative local keloid excision repair of the skin caused by the defect, after maintaining the natural anatomy of ear form, does not affect the ear appearance, a simple procedure, easy to grasp, is a good surgical technique. [Keywords:] keloid; outer ear; local flaps; surgical treatment By a large number of collagen in keloid proliferation, accumulation, manifested as excessive growth of scar of a class of its formation mechanism is unknown. Ear is the predilection sites of keloids, ear piercing keloid Kong Meirong common in clinical surgery induced ear lobe, helix, etc. The local scar, and a gradually increasing trend, seriously affecting the ear appearance. ear shape is more special, keloids after surgery must take into account the external ear shape, which is ear keloid surgery special treatment, but also feel an urgent patients are often willing to accept the reasons for surgery. routine ear surgery,