Keloids of the external ear.
Abstract
Keloid formation is a rare complication of normal scar tissue development, also to the surgeon who performs surgery on the external ear. We are presenting 4 cases of keloid formation which occurred after ear piercing in 2 cases and after otoplasty in another 2 cases. The treatment of keloid formation caused difficulties and is not unequivocal. Therefore we wish to present our experiences as we have seen no cases of keloid formation after otoplasty described in the literature.
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The Mustardé technique, using conchoscaphal mattress sutures to recreate the antihelical fold, remains widely used but risks suture pull-through in firm cartilage.
“Mustardé14 technique, using conchoscaphal mattress sutures to recreate the antihelical fold, remains widely used but risks suture pull-through in firm cartilage.16,17”
From Otoplasty Surgical Techniques and Clinical Outcomes: A Practical Review (2026) · cites this paper as [16]
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“Keloids on the back side of the auricle are also often described after otoplasty in cases where patients are predisposed [ 10 ].”
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Kaleeny, J. D., & Janis, J. E. (2026) · Plastic and Reconstructive Surgery - Global Open · doi:10.1097/gox.0000000000007404
“16,17 Furnas 15 secured conchal cartilage to the mastoid periosteum to address deep conchal bowls, whereas Hilger et al 18 optimized contour with temporary anterior sutures before posterior fixation.”
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- Authors
- Buchwald, C., Nielsen, H., & Rosborg, J.
- Affiliations
- Bispebjerg Hospital (DK)
- Gentofte Hospital (DK)
- Aalborg University Hospital (DK)
- Venue
- ORL
- Publisher
- S. Karger AG
- Published
- 2010-01-13
- Volume
- 54
- Issue
- 2
- Pages
- 108-112
- ISSN
- 0301-1569 (ISSN-L)
- 1423-0275
- OpenAlex
- W1970117675
- Cited by
- 20
- References
- 0
- Citations by year
- 2026: 1 · 2023: 1 · 2017: 1 · 2014: 1 · 2013: 2
- FWCI
- 1.17
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- ORL (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Dermatology › Dermatologic Treatments and Research
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Social Sciences › Cultural Studies › Tattoo and Body Piercing Complications
- Keywords
- keloids, external ear, ear piercing, otoplasty, scar tissue, postoperative complications, keloid treatment
- MeSH terms
- Adult, Child, Ear Deformities, Acquired, Ear Diseases, Ear, External, Esthetics, Female, Follow-Up Studies, Glucocorticoids, Humans, Keloid, Male, Postoperative Care, Postoperative Complications, Punctures, Surgery, Plastic, Time Factors
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