Abstract
Keloids are abnormal wound reactions, which develop from connective tissue as a result of skin trauma such as inflammation, burns, piercing or surgery in predisposed individuals. This fibrous growth extends beyond the boundaries of the original wound and rarely regresses. Keloids have a thick and glassy appearance. These characteristics distinguish keloids from hypertrophic scars, which are confined to the original wound and show spontaneous regression. Despite of various treatment options, there is no consensus on the best way to treat keloids. Surgical excision fol-lowed by radiation therapy is considered to be the most effective treatment available for severe recurrent keloids. We present three cases of patients with recurred keloids in the auricle, which were treated with surgical excision and adjuvant radiation therapy.
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