Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
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Clinical Analysis of Lobular Keloid after Ear Piercing

  • Kim, Hyung Do (Aesthetic, Plastic and Reconstructive Surgery Center, Good Moonhwa Hospital) ;
  • Chu, Sung Chul (Aesthetic, Plastic and Reconstructive Surgery Center, Good Moonhwa Hospital) ;
  • Hwang, So Min (Aesthetic, Plastic and Reconstructive Surgery Center, Good Moonhwa Hospital) ;
  • Sun, Hook (Department of Plastic and Reconstructive Surgery, Baik Hospital, Busan Inje University, Inje university School of Medicine) ;
  • Hwang, Min Kyu (Aesthetic, Plastic and Reconstructive Surgery Center, Good Moonhwa Hospital) ;
  • Kim, Min Wook (Aesthetic, Plastic and Reconstructive Surgery Center, Good Moonhwa Hospital) ;
  • Lee, Jong Seo (Aesthetic, Plastic and Reconstructive Surgery Center, Good Moonhwa Hospital)
  • Received : 2015.02.12
  • Accepted : 2015.12.03
  • Published : 2016.03.20
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Abstract

Background: Lobular keloid appears to be a consequence of hypertrophic inflammation secondary to ear piercings performed under unsterile conditions. We wish to understand the pathogenesis of lobular keloids and report operative outcomes with a literature review. Methods: A retrospective review identified 40 cases of lobular keloids between January, 2005 and December, 2010. Patient records were reviewed for preclinical factors such as presence of inflammation after ear piercing prior to keloid development, surgical management, and histopathologic correlation to recurrence. Results: The operation had been performed by surgical core extirpation or simple excision, postoperative lobular compression, and scar ointments. Perivascular infiltration was noted in intra- and extra-keloid tissue in 70% of patients. The postoperative recurrence rate was 10%, and most of the patients satisfied with treatment outcomes. Conclusion: Histological perivascular inflammation is a prominent feature of lobular keloids. Proper surgical treatment, adjuvant treatments, and persistent follow-up observation were sufficient in maintaining a relatively low rates of recurrence.

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References

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