A novel method for patients with ear keloid enucleation and fat grafting


IŞIK H., YAŞAR E. K., ALAGÖZ M. Ş.

Annals of Plastic Surgery, cilt.92, sa.6, ss.635-641, 2024 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 92 Sayı: 6
  • Basım Tarihi: 2024
  • Doi Numarası: 10.1097/sap.0000000000004003
  • Dergi Adı: Annals of Plastic Surgery
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CAB Abstracts, Chemical Abstracts Core, EMBASE, Veterinary Science Database
  • Sayfa Sayıları: ss.635-641
  • Anahtar Kelimeler: Enucleation, Fat grafting, Keloid
  • Kocaeli Üniversitesi Adresli: Evet

Özet

Background: Keloid is a dermal fibroproliferative disease unique to humans. Due to the ambiguity in its pathophysiology and the frequent recurrence of keloid, there is no clear consensus on the treatment of keloid and there are many treatment methods defined. In order to benefit from the positive effects of fat grafting on pathological scars, we applied fat grafting to patients who underwent keloid enucleation. Methods: Fifteen ear keloid patients included in the study. All patients underwent the same surgical procedure by the same surgeon. Routine follow-ups and examinations were performed to evaluate the results and in addition, the Patient and Observer Scar Assessment Scale (POSAS) survey was used. Results: In the study, 15 patients were followed for a median (IQR) period of 21 (13–28) months. No recurrence was observed in any patient during follow-up, which occurred for a median of 21 (13–28) months. In the questionnaire filled out by the patients, the preoperative median value was found to be 48 (IQR: 12), whereas the postoperative median value was found to be 14 (IQR: 8). According to the patients, there was a statistically significant (P < 0.05) positive improvement after surgery. Conclusions: Historically, surgical procedures were avoided because the surgical recurrence rate was very high, but today, recurrence rates are decreasing with combined treatments. These treatment combinations may require more than one intervention and require frequent clinical follow-ups. With our technique of fat grafting after enucleation, the treatment was completed with a single operation and no additional intervention was required.