
doi: 10.35366/91756
espanolIntroduccion: El pabellon auricular es una localizacion de riesgo para la aparicion de queloides (Q), ya que es una de las patologias de mas dificil tratamiento por el alto porcentaje de recidivas que presentan, hasta 100% en tratamientos unicos y 50% en tratamientos combinados. Objetivo: Nuestro objetivo es revisar nuestra experiencia y plantear un posible tratamiento de cicatrices queloideas en el pabellon auricular. Material y metodos: Hemos revisado queloides auriculares (QA) en los ultimos 10 anos; se ha recogido la epidemiologia, la etiologia de la herida, el tratamiento y los resultados. Resultados: De los 23 pacientes y los 28 pabellones auriculares afectados por queloides, la edad mas frecuente fue entre 20 a 29 anos. El 65% fueron mujeres, 80% de fototipo III; 53.5% de los QA afectaban a la oreja derecha, 56% se produjeron en el lobulo, 28% en el helix y 16% fueron retroauriculares. En 73.9% la causa fue piercing y el uso de pendientes, y en 17.4% fue un antecedente quirurgico. Del total, 34.8% realizaron tratamientos previos y 65.2% no realizo ningun tratamiento. El tratamiento fue infiltracion con triamcinolona (tres sesiones), seguido de laser Neodimio Yag (tres sesiones) y al finalizar laser CO2. Despues se mantuvieron con presoterapia por un ano para disminuir las probabilidades de recidiva. En 100% de los pacientes no se encontro recidiva. Conclusiones: Dentro de este estudio hemos demostrado la seguridad y la eficacia de una combinacion de terapias para los queloides auriculares y proponemos una posible terapia exitosa. EnglishIntroduction: The auricle is a risk location for the appearance of keloids (K) and is one of the most difficult pathologies to treat due to the high percentage of recurrences, which show up to 100% in single treatments and 50% in combined treatments. Objective: Our objective is to review our experience and to propose a possible treatment of keloid scars in the auricle. Material and methods: We have seen auricular keloids (AK) over the past 10 years, collecting epidemiology, wound etiology, treatment and outcomes. Results: Of the 23 patients and 28 auricles affected by keloids, the most frequent age was between 20 to 29 years. 65% were women, 80% of whom were phototype III; 53.5% of AK affected the right ear, AK occurred 56% of the time in the lobe, 28% in the helix and 16% of AK were retroauricular. 73.9% of the time the cause was piercing and use of earrings and 17.4% of patients had a surgical background. Of the total number of patients, 34.8% had previous treatments and 65.2% did not undergo any treatment. The treatment was infiltration of triamcinolone (three sessions), followed by Neodimio Yag laser (three sessions) and finally CO2 laser. It was subsequently maintained with presotherapy for one year to decrease the chances of relapse. No recurrence was found in any of the patients. Conclusions: In this study we have demonstrated the safety and efficacy of a combination of therapies for auricular keloids and propose a possible successful therapy
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