Treatment of keloid scars of auricles

Abstract

Our work presents treatment results of the keloid scars appeared after the trauma and operations of auricles. Thus authors offered the complex program of therapy of the keloid scars taking into account the sizes and duration of their existence with an individual approach for each case. Preoperative local medication preparation of abnormal site growth of cicatricial tissue in the auricles and anti-relapsing treatment in the postoperative period was carried out for this purpose. Preoperative preparation includes infiltration of 2,0-4,0 ml of 0,5% lidocaine in tissues around the keloid and through one puncture injection by a syringe of 10-40 mg/ml of Kenalog (Diprospan) where the preparation dose always depended on the size of the keloid scar. The quantity of injections reached 5 times depending on efficiency of influence of these medications. The following stage when the keloid didn’t decrease any more after the corticosteroids influence – surgical excision of scar was planned. In the postoperative period the anti-relapsing treatment has been continued including 10-15 times of phonophoresis in the postoperative scar area with the use of Contractubex ointment or 3000 ME gel of Longidaza. Such tactics of complex therapy is characterized by lack of its recurrence and favorable esthetic type of the scar.