What should I do about auricular keloids?

Written by Li Rui
Otolaryngology
Updated on September 01, 2024
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Auricular keloids are a relatively common clinical condition, which may be related to an individual's scar constitution. Firstly, it is necessary to examine the size of the keloid. If the keloid is small, without obvious enlarging, redness, pain, infection, or inflammation, this situation generally can be considered for observation followed by regular ENT (ear, nose, and throat) specialist follow-ups to check for any rapid growth. However, if the keloid is large and progressively growing, surgical removal should be considered. After the surgery, local superficial radiation therapy can be considered to help prevent postoperative recurrence.

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Written by Zhang Da Wei
General Surgery
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How to repair hypertrophic scars?

In cases of trauma or injury, it is very easy to develop hypertrophic scars. Generally, the size and depth of the wound are related factors. Scars often present with symptoms like redness, itching, and raised hard areas. There are mainly two approaches to treat this type of scar. The first method involves improvement through medications, using topical drugs or local injections to help eliminate hypertrophic scars. The second method involves surgical approaches, such as laser surgery, which is a common method of repair. Generally, local burning from the procedure can achieve certain effects. Of course, after using laser surgery, a specific recovery period is required. During this period, it is necessary to avoid infections to aid in the repair of hypertrophic scars.

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General Surgery
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Can hypertrophic scars be effectively treated?

Hypertrophic scars are related to constitutional issues, generally directly associated with congenital genetic factors. Thus, while it is possible to improve the condition of hypertrophic scars, it is impossible to completely remove them, as altering such constitutional issues entirely is very challenging. When dealing with hypertrophic scars, one can choose various methods to alleviate the condition, such as improving local tissue vitality through massage, which can promote skin regeneration and thus mitigate the effects of hypertrophic scars. Additionally, treatments for hypertrophic scars can include laser surgery or the use of medications that invigorate blood circulation and disperse blood stasis. Importantly, preventing wounds and thus avoiding scar formation is crucial for optimal prevention. (Use medication under the guidance of a doctor, and do not self-medicate).

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Written by Zhang Da Wei
General Surgery
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What should not be eaten with hypertrophic scars?

Hypertrophic scars, in themselves, result from constitutional issues, meaning they are tied to an individual's physical condition and have certain hereditary elements. This condition significantly affects appearance, and certain dietary items can further irritate hypertrophic scars. Thus, it is recommended to avoid certain stimulating foods such as bamboo shoots, beef, crucian carp, and seafood, as these can impede the healing of hypertrophic scars. Moreover, if symptoms are pronounced, or if irritation is prominent, it is also advisable to avoid spicy foods, alcohol, and smoking. Such irritants can notably aggravate the skin, potentially leading to localized scar sensitivity.

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Written by Li Rui
Otolaryngology
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Can ear piercing caused keloids be cured?

After getting ear piercings, some patients may develop keloids, which could be related to individual body reactions. Some cases are due to a person's scar constitution. First, the size of the keloid should be examined. If the keloid is small and does not show obvious growth, it is generally considered appropriate to observe and regularly re-examine the growth. However, if the keloid is large and gradually increasing in size, surgical removal should be considered. After surgery, superficial radiotherapy is recommended to help prevent recurrence. However, it is typically necessary to have regular follow-ups post-surgery, as some patients are prone to recurrence.

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Dermatology
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How to remove keloids?

The formation of keloids is largely related to one's inherent scarring constitution. Some patients are not prone to keloids but can still develop them due to particularly deep or large wounds. Additionally, keloids can form on the chest or shoulders after repeated occurrences of folliculitis. Currently, there are not many treatments for keloids. For larger keloids, medication can be used locally to gradually soften and reduce their size. For smaller areas, cosmetic surgical methods can be employed for removal, although this does not guarantee prevention of recurrence. Once keloids appear, they are mostly irreversible. If the keloid grows rapidly, treatment can also be sought at nuclear medicine departments, where nuclear radiation therapy is used.