title: Excision, skin grafting, corticosteroids, adjuvant radiotherapy, pressure therapy, and emancipation: the ESCAPE model for successful taming of giant auricular keloids.
abstract: The authors treated 24 giant auricular keloids (mean size, 11 cm) from January 2008 to July 2012 using a novel protocol consisting of complete excision, skin grafting, a 1-time intraoperative injection of triamcinolone, immediate radiotherapy, and sustained pressure therapy. At 1 year, the success rate was 87.5%.
authors.affiliation: Zulqarnain Masoodi, MCh-Std, is Senior Resident; Imran Ahmad, MCh, is Associate Professor; M. Fahud Khurram, MCh, is Assistant Professor; and Ansarul Haq, MCh-Std, is Senior Resident; all in the Department of Plastic and Reconstructive Surgery, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India. The authors have disclosed that they have no financial relationships related to this article. Submitted June 6, 2013; accepted in revised form October 18, 2013.
authors.forename: Zulqarnain
authors.initials: Z
authors.lastname: Masoodi
authors.forename: Imran
authors.initials: I
authors.lastname: Ahmad
authors.forename: M Fahud
authors.initials: MF
authors.lastname: Khurram
authors.forename: Ansarul
authors.initials: A
authors.lastname: Haq
mesh_terms: D000293:Adolescent; D000328:Adult; D000553:Ambulatory Care; D046288:Body Piercing / Q000009:adverse effects; D003131:Combined Modality Therapy; D054644:Ear Auricle; D004426:Ear Deformities, Acquired / Q000209:etiology / Q000628:therapy*; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007194:India; D007627:Keloid / Q000209:etiology / Q000628:therapy*; D008875:Middle Aged; D011312:Pressure; D018714:Radiotherapy, Adjuvant; D016038:Skin Transplantation / Q000379:methods; D014222:Triamcinolone Acetonide / Q000627:therapeutic use; D055815:Young Adult
chemical_list: D005938:Glucocorticoids; D014222:Triamcinolone Acetonide