Surgery and follow-up care for auricular keloid:a report of 156 cases
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Surgery and follow-up care for auricular keloid:a report of 156 cases
Surgery and follow-up care for auricular keloid:a report of 156 cases
解放军医学杂志(英文版)2013年28卷第2期 页码:107-112
Affiliations:
Department of Plastic and Aesthetic Surgery,Southwest Hospital,Third Military Medical University
Author bio:
Funds:
DOI:
中图分类号:R764.9
纸质出版:2013
Accepted:
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Surgery and follow-up care for auricular keloid:a report of 156 cases[J]. 解放军医学杂志(英文版), 2013,28(2):107-112.
[1]CHEN Liang,CAO Chuan,LI Xiaoge,YANG Dongyun,LI Shirong.Surgery and follow-up care for auricular keloid:a report of 156 cases[J].Journal of Medical Colleges of PLA,2013,28(02):107-112.
Surgery and follow-up care for auricular keloid:a report of 156 cases[J]. 解放军医学杂志(英文版), 2013,28(2):107-112.DOI:
[1]CHEN Liang,CAO Chuan,LI Xiaoge,YANG Dongyun,LI Shirong.Surgery and follow-up care for auricular keloid:a report of 156 cases[J].Journal of Medical Colleges of PLA,2013,28(02):107-112.DOI:
Surgery and follow-up care for auricular keloid:a report of 156 cases
摘要
Abstract
Objective:To treat and prevent auricular keloid so as to imporve the cure rate and lower the rate of recurrence. Methods:Taking 156 sufferers of auriclar keloid at the orthopaedics department of the Southwest Hospital under the Third Military Medical University from June
2008 to June
2011 as the research subject
this research carried out retrospective analysis and summary of different surgical methods with the clinical data of subseque nt treatments
including medicament
radiotheropy
pressure
etc. Results:There was no auricular cartilage necrosis and deformation in the total of 156 cases. It was found that 134 cases were cured in a year of postoperative follow-up
getting the care rate to 85.9%. The treatment was effective on 20 cases
with the effective rate of 12.8%
while it was ineffective on 2 cases
with the ineffective rate being 1.3%. However
two cases showed tendency towards recurrence
which were treated effectively by non-surgical methods like local hormone injection. There was neither recurrence nor apparent hyperplasia of hypertrophic scars on the rest cases
with the auricle and the earlobe in good shape. Conclusion:By auricular keloid excision and stripping surgery
surgical suture tension was reduced. Glucocorticoid and radiotherapy were instantly applied to inhibit pyperplasia of cicatrical tissue. Subsequently
pressure
anti-scarring drugs and silicone membrane were adopted to ensure fine postoperative apperance and reduce recurrence. These methods were proved to be effectiveand they provided systematic and effective treatment for auricular keloid.
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