Document Detail

Are auricular keloids and persistent hypertrophic scars resectable? The role of intrascar excision.
MedLine Citation:
PMID:  23154335     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Intrascar excision with debulking procedure is a good choice for scar revision in unique 3-dimensional facial aesthetic units, especially in the auricular area. It can remove or reduce scars in a shorter course without distortion of the surrounding anatomic structures and visible operative scars. This retrospective study was done to present intrascar excision procedures in persistent auricular hypertrophic scars or keloids.
METHODS: Between 1997 and 2010, 18 ears in 13 patient cases with persistent hypertrophic scars and/or keloids in their external ear due to burns or trauma were collected for evaluation. There were 10 males and 3 females. The age distributions ranged from 5 to 49 years with an average of 20.1 years. All received intrascar excision with debulking procedure for their ear deformity. One case combined with YV-plasty procedure to obtain better aesthetic result. The follow-up period ranged from 0.3 to 14 years with an average of 3.6 years.
RESULTS: There was no recurrence in a series of average 3.6 years follow-up. Of the 13 patients, 11 (84.6%) objectively presented good and satisfactory surgical outcomes and the other 2 patients were acceptable.
CONCLUSIONS: The intrascar excision in auricular persistent scars or keloids has the following advantages: it (1) achieves primary closure, (2) does not distort the anatomic landmarks, (3) does not sacrifice the important structures, (4) has a debulking effect, (5) can be done anytime, even if scars are not mature, (6) has good cosmetic results, (7) may combine with Z- or VY-plasty for functional improvement, and (8) has minimal complications.
Jui-Yung Yang; Shih-Yi Yang
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of plastic surgery     Volume:  69     ISSN:  1536-3708     ISO Abbreviation:  Ann Plast Surg     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-11-16     Completed Date:  2013-05-01     Revised Date:  2014-03-24    
Medline Journal Info:
Nlm Unique ID:  7805336     Medline TA:  Ann Plast Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  637-42     Citation Subset:  IM    
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MeSH Terms
Body Piercing / adverse effects
Burns / complications,  surgery
Child, Preschool
Cicatrix, Hypertrophic / etiology,  surgery*
Ear, External / surgery*
Facial Injuries / complications,  surgery
Follow-Up Studies
Keloid / etiology,  surgery*
Middle Aged
Reconstructive Surgical Procedures / methods*
Treatment Outcome
Wound Healing
Young Adult
Comment In:
Ann Plast Surg. 2014 Mar;72(3):369   [PMID:  23657048 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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