Efficacy of custom-made pressure clips for ear keloid treatment after surgical excision

Volkan Tanaydin, Jop Beugels, Andrzej Piatkowski de Grzymala, C. Colla, E. van den Kerckhove, G.C. Hugenholtz, R.R. van der Hulst

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

BACKGROUND: Mechanical pressure is increasingly applied as a means to prevent or treat keloid scars. AIM: The aim of this study is to analyze the long-term efficacy of our custom-molded pressure-adjustable earclips to prevent keloid recurrence after surgical excision. METHODS: Using our custom-molded earclip, 88 patients who had undergone ear surgery for keloid scars were treated for 12 h a day for 6-18 months. The mean follow-up was 6.5 years. The primary outcome was the recurrence of keloids with patient satisfaction being the secondary outcome as assessed by Patient and Observer Scale (POSAS). RESULTS: Keloid scars did not recur in 70.5% of treated patients. The Fitzpatrick scale, which classifies human skin by type, was significantly different between the recurrence and nonrecurrence group. Differences in other patient characteristics were not found between both groups. All parameters mentioned in the POSAS patient scale drastically improved after therapy. There were no severe side effects observed after the therapy. CONCLUSION: Our pressure-adjustable earclip model is an effective tool in the prevention of ear keloid recurrence and is associated with high patient satisfaction. Its benefits should prompt further studies on its value as an adjuvant therapy to surgery in keloid treatment. LEVEL OF EVIDENCE: Level III on the Evidence Rating Scale for Therapeutic Studies.
Original languageEnglish
Pages (from-to)115-121
Number of pages7
JournalJournal of Plastic Reconstructive and Aesthetic Surgery
Volume69
Issue number1
DOIs
Publication statusPublished - 1 Jan 2016

Keywords

  • Keloid
  • Recurrence
  • Operative surgical procedures
  • Earclip
  • METHYL-METHACRYLATE STENT
  • EARLOBE KELOIDS
  • HYPERTROPHIC SCAR
  • AURICULAR KELOIDS
  • MANAGEMENT
  • ADJUNCT

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