title: Meatoplasty keloid: a rare lesion treated with an unusual surgical approach.
abstract: Keloid scarring is a benign hyperproliferation of fibrous tissue occurring at a wound healing site. Keloid formation related to the ear is generally the result of ear-piercing, mainly causing cosmetic disfigurement. We present an unusual case of keloid formation at a previous meatoplasty incision scar in a 10-year-old Caucasian with a modified radical mastoid cavity. This lesion prevented the cavity from self-cleaning and obstructed microscopic evaluation of the cavity. Treatment was successfully performed by surgical excision, with closure of the defect using supra-keloid skin flaps, followed by serial steroid injection therapy.
authors.affiliation: Department of Paediatric Otolaryngology, Princess Margaret Hospital, Perth, Western Australia, Australia. shiner1@eircom.net
authors.forename: N P
authors.initials: NP
authors.lastname: Shine
authors.forename: K
authors.initials: K
authors.lastname: Lew
mesh_terms: D002648:Child; D004427:Ear Diseases / Q000473:pathology / Q000601:surgery*; D004431:Ear, External / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007627:Keloid / Q000473:pathology / Q000601:surgery*; D008297:Male; D008416:Mastoid / Q000601:surgery; D013506:Otologic Surgical Procedures / Q000379:methods; D011183:Postoperative Complications / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome