Non-Surgical Management of Earlobe Keloids: A Patient-Centered,Multimodal Approach, Case Study and International Collaboration Experience
Heather M. Powell, PhD3,2; Sara Higginson, MD, FACS2 Raul Caceres, MD1, 2, Michael Tirgan, MD1
BACKGROUND
Over several decades, multiple treatment modalities have been utilized to improve outcomes in patients with keloidal lesions. Historically, surgical excision combined with adjuvant therapies such as radiation, corticosteroid injections, pressure therapy, and laser treatments have been widely practiced. However, suboptimal outcomes and recurrence remain significant concerns, particularly for ear lesions in young patients. Clinical observations following exposure to cryotherapy-based treatments demonstrated improved cosmetic and psychological outcomes, prompting a shift toward non-surgical approaches.
CONCLUSION
A non-surgical, patient-centered, and multimodal approach represents a promising strategy for the management of ear keloids. Tailoring treatment is based on individual patient factors—including age, prior therapies, and psychosocial impact—may optimize outcomes. Ongoing international collaboration aims to establish standardized protocols and generate data to guide evidence-based care, addressing the current lack of robust clinical trial data in keloid management.
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