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 ORIGINAL ARTICLE
Year : 2016  |  Volume : 82  |  Issue : 6  |  Page : 659--665

Keloidectomy with core fillet flap and intralesional verapamil injection for recurrent earlobe keloids


Department of Dermatology, Andrology and STDs, Mansoura University, Mansoura 35516, Egypt

Correspondence Address:
Prof. Mohammed Fawzy El-Kamel
Department of Dermatology, Andrology and STDs, Mansoura University, Mansoura 35516
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0378-6323.187084

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Background: Earlobe keloids are usually recalcitrant to treatment and have a high rate of recurrence. Verapamil is a calcium channel antagonist that has been shown to inhibit the synthesis/secretion of extracellular matrix molecules and increase collagenase. Objectives: This prospective study was designed to evaluate the results of treatment of recurrent earlobe keloids using keloidectomy with core fillet flap and intralesional verapamil injection. Methods: Nineteen keloids in 16 patients were treated using this technique with intralesional verapamil injection given intraoperatively, then every 2 weeks for 3 months, with postoperative follow-up for 18 months. Results: Fourteen patients completed the study. Ten patients (71.4%) showed response to treatment. Four (28.6%) cases showed recurrence, two (14.2%) at the wound bed and another two (14. 2%) at the incision line. Eighty percent of responders were highly satisfied with their treatment. Conclusion: Keloidectomy with core fillet flap and intralesional verapamil injection is a reliable and cost-effective method in the treatment of recurrent earlobe keloids with a low rate of recurrence and high patient satisfaction.






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Online since 15th March '04
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