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examples of keloids in various portions that the ear. Ear keloids room firm, rubbery, fibrous nodules that form on the ear after minor trauma, most generally after ear piercing. Lock can happen in earlobes as well as in the skin and cartilage higher on the ear. Ear keloids can vary in color, from flesh fancy to pink to dark brown.

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Keloids deserve to be itchy or painful. They may also grow to be quite huge and may distort or deform the ear.


Ear keloids are brought about by too much scar tissue formation from skin injury. The keloid forms when an overgrowth that granulation tissue (type 3 collagen) is then changed by form 1 collagen. Keloids grow beyond the boundaries of the initial wound, in contrast to hypertrophic scars, i beg your pardon will show up as a raised scar but not grow as large as keloids.

It is unclear why keloids occur much more commonly in people with darker skin pigmentation, consisting of African American, Asian, and Hispanic people. Keloids may impact people of all ages, yet most civilization start developing keloids ~ puberty.


Treatment


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Left: Ear keloid before surgery. Right: same patient after surgical excision the keloid and also repair that earlobe. Ear keloids room notoriously an overwhelming to treat, as surgical removal (excision) may lead to recurrent keloid scar development up come 80 percent that the time. Recurring keloids may even be bigger than the initial keloid scar.The likelihood of recurrence is not influenced by the person’s age, gender, keloid dimension or location.

Symptoms of itchiness and also pain caused by ear keloids may be alleviated with steroid injections, and small keloids might respond by ending up being softer. These injections be performed in her doctor’s office.

Depending upon her child’s age and also the size of the keloid, a surgical excision might be performed at her doctor’s office using local anesthesia, or in the operating room under a general anesthetic. Big keloids are generally excised, as lengthy you and also your son accept the danger that the keloids may recur.

To to decrease the danger of recurrence, your child’s surgeon may decide to inject the edges of the ear keloid through steroid medication prior to suture closure. Your son may also benefit from the use of pressure earrings ~ the incisions room no longer tender. Added steroid injections might be recommended if the scars start to thicken in the months adhering to surgery.

Ear keloids that are large or challenging to manage may benefit from prompt post-surgical radiation. If this treatment choice is appropriate for friend or your child, three days the post-surgical radiation will begin within 24 hrs after operation removal the the keloid. This might reduce the price of recurrence to as low together 10-15 percent. If you or your kid are candidates because that radiation to treat ear keloids, you will certainly be referred to the Radiation Oncology room at the Hospital that the college of Pennsylvania to comment on the risks and benefits of short term radiation exposure.

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Most recently, the use of liquid nitrogen to freeze ear keloids has actually been report to have a high price of success and low price of recurrence. This method was first trialed in ~ the Hospital the the college of Pennsylvania in 2013. If you space interested in this potential treatment option, you re welcome speak through your plastic operated doctor for an ext information.