Abstract

Aim: To determine the efficacy of pressure ear tops in the treatment plan of ear keloids the postsurgical adjuvant.

Study Design: Prospective Study

Place and duration:: Department of Plastic Surgery, Bashir Hospital, Sialkot from June 2016 to January 2020.

Methodology: Patients with ear keloids were admitted. Informed consent, both for the purpose of research and surgery was taken. Ear keloids were treated with excision followed by the use of pressure ear tops after one week of operation for 6 months. Patients were discharged on the same day. They were followed up at first week postoperatively for stitch removal. Then after 3 months and 6 months respectively. At follow up visits, recurrence of keloids was assessed. A proforma was maintained to record the data. Patients with history of previous surgery were excluded from the study similarly patients not completing follow up were dropped from the data. The data was entered and analyzed using SPSS v 22.

Results: The ear keloid usually develops after piercing injury to wear ornaments. A patient usually asks for removal of keloid, as it is aesthetically unpleasant. Patient may sometimes complain of itching and pain. The total number of patients included in study was 78 out of which mean age of most of people 32 years, 39 of which had control by pressure tops and 39 had surgery alone. The patient presentation of cosmetic concern, disfigurement and Pain ,Itching and Recurrent infection. Poor cosmetic results occur in 7.69% by pressure tops and 15.38% by surgery alone. Recurrence occurs in 0% by pressure tops and 10.25% surgery alone. 0% infection had reported in both cases.

Conclusion: The results of this study revealed that use of pressure ear tops in the post excision phase of ear keloids is an effective approach to avoid recurrence.

Keywords: Ear keloid. Pressure ear tops. Auricular keloid, needle injury