Evaluation of Treatment of Ear Lobe Keloid with Triamcinolone Injection and Surgical Excision

Abstract

The study includes 42 consecutive patients with 68 ear lobe keloids. Patients underwent local infiltration of triamcinolone acetonide (TCN) at concentrations of 40mg/ml (Group 1) and 20 mg/ml (Group 2). Different volume of TCN infiltrate according to the size of the lesion. Treatment consisted of three monthly injections before surgery, excision of keloid in the fourth month and perioperative infiltration, followed by two more infiltration of TCN within two months. Post-treatment follow-up of patients was done for12 months. RESULTS: TCN at concentrations of 20mg/ml and 40mg/ml were effective for the treatment of keloids along with surgical excision,no difference between the groups (p = 0.73). CONCLUSION: The combination of infiltration of TCN monthly (1.2mg to 2.0mg per mm 3 ) and surgical