Abstract
BACKGROUND: Auricular Keloids, particularly those resulting from ear piercings, present significant cosmetic challenges for patients. Conventional treatment methods for larger keloids often fail to prevent significant changes in ear contours and are associated with a high recurrence rate. Achieving both low recurrence and optimal aesthetic restoration remains a major challenge in clinical practice.
This study introduces a structured, multidisciplinary team (MDT)-guided management protocol integrating the innovative ABC surgical technique with preoperative assessment, precise surgical intervention, and multimodal postoperative management. The ABC surgical technique was specifically designed to balance complete lesion removal with maximal ear contour preservation, making it a key component in optimizing outcomes.
By leveraging a collaborative approach among surgeons (dermatologists or plastic surgeons), radiation oncologists, and the nursing team, this model aims to improve treatment efficacy, minimize recurrence, and enhance aesthetic results.