Surgical Resection Combined with Early Low-dose Radiotherapy in Treatment of Auricular Keloids
TANG Fei
YANG Chongling
CAO Wei
LV Ping
LIU Jun
Abstract：Objective To report outcomes of surgical resection combined with low-dose radiotherapy for auricular keloids.Methods From January 2018 to July 2022,49 cases(60 ears)of auricular keloids were treated at the PLA General Hospital,involving surgical resection combined with low-dose radiotherapy(30 cases,37 ears),surgical resection combined with local glucocorticoid injection(6 cases,8 ears),and surgical resection alone(13 cases,15 ears).Clinical outcomes,Vancouver scar scale(VSS)scores before and 6 months after treatment,and recurrence were compared among the three treatment modalities.Results The rate of overall effectiveness was 96.67％for surgery combined with radiotherapy,83.33％for surgery combined with glucocorticoid and 46.15％for surgery alone(P<0.05).There was no significant difference in VSS scores among the three groups before treatment(P>0.05).The VSS score at 6 months after treatment was 3.00±1.15 for surgery combined with radiotherapy,3.17±1.47 for surgery combined with glucocorticoid and 5.77±2.83 for surgery alone(P<0.05).The rate of recurrence was 10.00％for surgery combined with radiotherapy,33.33％for surgery combined with glucocorticoid and 69.23％for surgery alone(P<0.05).Conclusions Complete resection of scar tissue combined with early postoperative low-dose radiotherapy can effectively reduce scar hyperplasia and recurrence.
Keywords：auricle keloidsurgical resectionradiotherapyglucocorticoidefficacy
Publication Date：2024-12-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 941-945 )