title: Assesment of the treatment of earlobe keloids with triamcinolone injections, surgical resection, and local pressure.
abstract: OBJECTIVE
  To evaluate the combined treatment of ear lobe keloids.
  
  
  METHODS
  We studied 46 consecutive patients with 81 ear lobe keloids. Patients underwent local infiltration of triamcinolone acetonide (TCN) at concentrations of 40 mg/ml (Group 1), 20 mg/ml (Group 2) and 10mg/ml (Group 3). The volume of TCN infiltrate varied according to the size of the lesion. Treatment consisted of three monthly injections before surgery, excision of keloid in the fourth month and perioperative infiltration, followed by two more leaks TCN within two months. Patients used earrings pressure on the scar after operation for four months. The pressure exerted by earrings in the ear lobe was measured electronically. Post-treatment follow-up of patients was 24 months.
  
  
  RESULTS
  TCN at concentrations of 20mg/ml and 40 mg/ml were effective for the treatment of keloids, no difference between the groups (p = 0.58). However, patients in which TCN was infiltrated the 10mg/ml had poor involution of keloid and the study of this group was stopped.
  
  
  CONCLUSIONS
  the combination of infiltration TCN month to 20 mg/mL (1.2mg to 2.0mg per mm3 TCN injury), surgical excision and pressure application device is effective for treatment of keloid ear lobe.
authors.affiliation: Hospital Governador Israel Pinheiro, Minas Gerais, Brazil.
authors.forename: Silvia Mandello
authors.initials: SM
authors.lastname: Carvalhaes
authors.affiliation: Department of Surgery, Faculty of Medicine, Universidade Federal de Minas Gerais, Minas Gerais, Brazil.
authors.forename: Andy
authors.initials: A
authors.lastname: Petroianu
authors.affiliation: Department of Anatomy and Imaging, Faculty of Medicine, UFMG, Minas Gerais, Brazil.
authors.forename: Mauro Augusto Tostes
authors.initials: MA
authors.lastname: Ferreira
authors.affiliation: Hospital SEMPER, Hospital UNIMED, Belo Horizonte, Minas Gerais, Brazil.
authors.forename: Virgínea Magalhães
authors.initials: VM
authors.lastname: de Barros
authors.affiliation: Hospital SEMPER, Hospital UNIMED, Belo Horizonte, Minas Gerais, Brazil.
authors.forename: Raquel Virgínea
authors.initials: RV
authors.lastname: Lopes
mesh_terms: D003131:Combined Modality Therapy; D054644:Ear Auricle; D004427:Ear Diseases / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D005938:Glucocorticoids / Q000008:administration & dosage*; D006801:Humans; D015552:Injections, Intralesional; D007627:Keloid / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D011312:Pressure; D011446:Prospective Studies; D064746:Therapy, Soft Tissue; D016896:Treatment Outcome; D014221:Triamcinolone / Q000008:administration & dosage*
chemical_list: D005938:Glucocorticoids; D014221:Triamcinolone