title: Auricular keloids: combined therapy with a new pressure device.
abstract: OBJECTIVE
  To develop a new, custom-made pressure device that can be used with established designs as an adjuvant therapy for optimized treatment of auricular keloids.
  
  
  METHODS
  Seven patients (4 males, 3 females; mean [SD] age, 22.6 [8.3] years) were treated with surgical excision and corticosteroid injection followed by application of our new auricular pressure device.
  
  
  RESULTS
  All patients tolerated the adjuvant therapy and wore the device overnight for 5 nights per week. Usage was not interrupted or cancelled. No recurrence was observed during the follow-up period (mean [SD] duration of follow-up, 24 [6] months). All patients were satisfied with the results; none described pruritus, pain, or dysesthesia.
  
  
  CONCLUSIONS
  Overnight usage of the new pressure device seems to be a safe and effective extension of established auricular keloid therapy with the potential for prophylaxis of recurrence.
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, University Hospital of Mannheim, Theodor-Kutzer-Ufer 1-3, Mannheim, Germany. gregor.bran@umm.de
authors.forename: Gregor M
authors.initials: GM
authors.lastname: Bran
authors.forename: Jörn
authors.initials: J
authors.lastname: Brom
authors.forename: Karl
authors.initials: K
authors.lastname: Hörmann
authors.forename: Boris A
authors.initials: BA
authors.lastname: Stuck
mesh_terms: D000328:Adult; D003131:Combined Modality Therapy; D054644:Ear Auricle / Q000473:pathology / Q000601:surgery; D004426:Ear Deformities, Acquired / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007627:Keloid / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D008297:Male; D017060:Patient Satisfaction; D011312:Pressure; D019651:Plastic Surgery Procedures; D016896:Treatment Outcome; D014222:Triamcinolone Acetonide / Q000627:therapeutic use
chemical_list: D005938:Glucocorticoids; D014222:Triamcinolone Acetonide