Surgical Excision and Radiotherapy for Giant Keloids in Auricula: A Case Report

Shinta Fitri Boesoirie,1 Retno Arun Winastuti,1 Agung Dinasti Permana,1 Novan Arya Yudistira,1 Vesara Ardhe Gatera,2 Muhammad Thaufiq Boesoirie1 1Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital, Bandung, West Jav...

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Main Authors: Boesoirie SF, Winastuti RA, Permana AD, Yudistira NA, Gatera VA, Boesoirie MT
Format: Article
Language:English
Published: Dove Medical Press 2025-01-01
Series:International Medical Case Reports Journal
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Online Access:https://www.dovepress.com/surgical-excision-and-radiotherapy-for-giant-keloids-in-auricula-a-cas-peer-reviewed-fulltext-article-IMCRJ
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author Boesoirie SF
Winastuti RA
Permana AD
Yudistira NA
Gatera VA
Boesoirie MT
author_facet Boesoirie SF
Winastuti RA
Permana AD
Yudistira NA
Gatera VA
Boesoirie MT
author_sort Boesoirie SF
collection DOAJ
description Shinta Fitri Boesoirie,1 Retno Arun Winastuti,1 Agung Dinasti Permana,1 Novan Arya Yudistira,1 Vesara Ardhe Gatera,2 Muhammad Thaufiq Boesoirie1 1Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital, Bandung, West Java, Indonesia; 2Department of Biological Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Jatinangor, West Java, IndonesiaCorrespondence: Shinta Fitri Boesoirie, Department of Otorhinolaryngology-Head and Neck Surgery Faculty of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital, Bandung, Indonesia, Tel +62 22 84288828, Email shinta.fitri.boesoirie@unpad.ac.idAbstract: Keloids are characterized by excessive growth of fibrous tissue resulting from abnormal wound-healing processes. They may lead to functional impairments, aesthetic deformities, pruritus, and a decreased quality of life. Various therapies, including intralesional corticosteroid injections, cryotherapy, laser therapy, surgical excision, and radiotherapy, have been used to manage keloids, but the recurrence rates remain high. Therefore, this study aimed to report combination therapy for patients with giant keloids in auricula. This report presents a 35-year-old man who had lumps in both ears that got bigger over about 10 years. Surgery was done to remove the keloids and to fix both ears. After surgery, the patient got some radiotherapy, specifically a kind called superficial brachytherapy, to try to lower the chances of the keloids coming back. A combined way of doing surgery and giving radiotherapy showed it could work well for handling big ear keloids and keeping them from coming back. The extra radiotherapy after surgery helped a lot in lowering the chances of the keloids showing up again.Keywords: auricular keloids, surgical excision, radiotherapy
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publishDate 2025-01-01
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series International Medical Case Reports Journal
spelling doaj-art-cdad0dc23fd748c09a3dd984f68cef1b2025-01-12T16:52:42ZengDove Medical PressInternational Medical Case Reports Journal1179-142X2025-01-01Volume 18334099169Surgical Excision and Radiotherapy for Giant Keloids in Auricula: A Case ReportBoesoirie SFWinastuti RAPermana ADYudistira NAGatera VABoesoirie MTShinta Fitri Boesoirie,1 Retno Arun Winastuti,1 Agung Dinasti Permana,1 Novan Arya Yudistira,1 Vesara Ardhe Gatera,2 Muhammad Thaufiq Boesoirie1 1Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital, Bandung, West Java, Indonesia; 2Department of Biological Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Jatinangor, West Java, IndonesiaCorrespondence: Shinta Fitri Boesoirie, Department of Otorhinolaryngology-Head and Neck Surgery Faculty of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital, Bandung, Indonesia, Tel +62 22 84288828, Email shinta.fitri.boesoirie@unpad.ac.idAbstract: Keloids are characterized by excessive growth of fibrous tissue resulting from abnormal wound-healing processes. They may lead to functional impairments, aesthetic deformities, pruritus, and a decreased quality of life. Various therapies, including intralesional corticosteroid injections, cryotherapy, laser therapy, surgical excision, and radiotherapy, have been used to manage keloids, but the recurrence rates remain high. Therefore, this study aimed to report combination therapy for patients with giant keloids in auricula. This report presents a 35-year-old man who had lumps in both ears that got bigger over about 10 years. Surgery was done to remove the keloids and to fix both ears. After surgery, the patient got some radiotherapy, specifically a kind called superficial brachytherapy, to try to lower the chances of the keloids coming back. A combined way of doing surgery and giving radiotherapy showed it could work well for handling big ear keloids and keeping them from coming back. The extra radiotherapy after surgery helped a lot in lowering the chances of the keloids showing up again.Keywords: auricular keloids, surgical excision, radiotherapyhttps://www.dovepress.com/surgical-excision-and-radiotherapy-for-giant-keloids-in-auricula-a-cas-peer-reviewed-fulltext-article-IMCRJauricular keloidssurgical excisionradiotherapy
spellingShingle Boesoirie SF
Winastuti RA
Permana AD
Yudistira NA
Gatera VA
Boesoirie MT
Surgical Excision and Radiotherapy for Giant Keloids in Auricula: A Case Report
International Medical Case Reports Journal
auricular keloids
surgical excision
radiotherapy
title Surgical Excision and Radiotherapy for Giant Keloids in Auricula: A Case Report
title_full Surgical Excision and Radiotherapy for Giant Keloids in Auricula: A Case Report
title_fullStr Surgical Excision and Radiotherapy for Giant Keloids in Auricula: A Case Report
title_full_unstemmed Surgical Excision and Radiotherapy for Giant Keloids in Auricula: A Case Report
title_short Surgical Excision and Radiotherapy for Giant Keloids in Auricula: A Case Report
title_sort surgical excision and radiotherapy for giant keloids in auricula a case report
topic auricular keloids
surgical excision
radiotherapy
url https://www.dovepress.com/surgical-excision-and-radiotherapy-for-giant-keloids-in-auricula-a-cas-peer-reviewed-fulltext-article-IMCRJ
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AT permanaad surgicalexcisionandradiotherapyforgiantkeloidsinauriculaacasereport
AT yudistirana surgicalexcisionandradiotherapyforgiantkeloidsinauriculaacasereport
AT gaterava surgicalexcisionandradiotherapyforgiantkeloidsinauriculaacasereport
AT boesoiriemt surgicalexcisionandradiotherapyforgiantkeloidsinauriculaacasereport