Keloid Excision with Debulking Technique on the Left Ear Helix

¹Ermedika Clinic, South Tangerang, Banten, Indonesia

²RSUP Dr. M.Djamil, Padang, West Sumatera, Indonesia

*Corresponding author: Frien Refla Syarif, MD, Sp.DVE, FINSDV, Ermedika Clinic, South Tangerang, Banten, Indonesia.

Received Date: June 10, 2024

Published Date: July 25, 2024

Citation: Syarif FR, et al. (2024). Keloid Excision with Debulking Technique on the Left Ear Helix. Mathews J Case Rep. 9(6):171.

Copyrights: Syarif FR, et al. © (2024).

ABSTRACT

Introduction: Keloids are benign dermal fibroproliferative lesions in connective tissue that usually appear in response to trauma and cannot heal spontaneously. The ear is one of the most common predilection areas for the growth of keloids and this condition can affect psychosocial patients to seek a doctor for cosmetic reasons or the presence of subjective symptoms of itching or pain. There are multiple treatment modalities of keloid, one of which is surgical excision with debulking technique. Case report: Reported one case of keloid on the left-ear-helix with complaints of a slight itchiness, measuring 5cmx2cm, as a result of a piercing that grew larger since 6 months after piercing. The case was treated by excision surgery with debulking technique using a local anesthetic injection Pehacain® (lidocaine2%+adrenaline1:80,000). At the end of wound closure, then one week after suture removal, and every 2weeks for 4times, 40mg triamcinolone-acetonide was given. The result of excision surgery was good and the patient was satisfied. Conclusion: Excision surgery with debulking technique was chosen because of the size of the lesion was quite large. Excision surgery with debulking technique on keloids was conducted to remove the keloid as fully as possible so that no keloid tissue remained at the predilection site. Administration of corticosteroids injection immediately after excision was done can reduce the proliferation of fibroblasts, synthesis of collagen and glycosaminoglycans and suppress pro-inflammatory mediators. to prevent keloid recurrence.

Keywords: Excision Surgery, Debulking Technique, Ear Keloid.