title: Combined treatment of earlobe keloids with shaving, cryosurgery, and intralesional steroid injection: a 1-year follow-up.
abstract: BACKGROUND
  Earlobe keloids are benign, fibrous proliferations that occur in predisposed persons at sites of cutaneous injury. No single best therapeutic modality is indicated.
  
  
  OBJECTIVE
  To describe a 1-year follow-up of 12 patients with earlobe keloids treated by shaving followed by cryosurgery and intralesional injection of triamcinolone.
  
  
  METHODS
  Twelve patients were treated with combined surgery and cryosurgery.
  
  
  RESULTS
  After 1 year, major response was observed in nine cases (75%) and moderate response in two cases (16%); one case had a relapse 5 months after the surgery.
  
  
  CONCLUSIONS
  These results are highly encouraging because all patients showed improvement. Shaving associated with cryosurgery seems to be a useful treatment for large keloids scars.
authors: Department of Dermatology, University of São Paulo, São Paulo, Brazil. mfcareta@yahoo.com.br
authors: Mariana Figueiroa
authors: MF
authors: Careta
authors: Ana C
authors: AC
authors: Fortes
authors: Maria Cristina
authors: MC
authors: Messina
authors: Celina W
authors: CW
authors: Maruta
mesh_terms: D000293:Adolescent; D000328:Adult; D049109:Cell Proliferation; D003131:Combined Modality Therapy; D003452:Cryosurgery; D003475:Curettage; D004427:Ear Diseases / Q000473:pathology / Q000601:surgery / Q000628:therapy*; D004431:Ear, External / Q000473:pathology*; D005260:Female; D005500:Follow-Up Studies; D005938:Glucocorticoids / Q000008:administration & dosage*; D006801:Humans; D015552:Injections, Intralesional; D007627:Keloid / Q000601:surgery* / Q000628:therapy; D008297:Male; D016896:Treatment Outcome; D014221:Triamcinolone / Q000008:administration & dosage*; D055815:Young Adult
chemical_list: D005938:Glucocorticoids; D014221:Triamcinolone