Association of Surgery and Pulsed Dye Laser for the Treatment of an Ear Keloid: A Case Report

Background and Objective: A keloidal scar is a benign hyperproliferation of dermal collagen resulting from abnormal healing. The ear is probably the most frequent interested area and these kind of keloids are responsible for cosmetic disfigurement. Numerous treatments have been applied for keloids. Surgery is generally not indicated because of the high risk of recurrence while laser technologies have been tested to prevent and treat hypertrophic scars. The association between laser and surgery was poorly reported in literature. We decided to associate surgery and pulsed Dye laser in just one case of ear keloid. Materials and Methods: We treated a female patient affected by an earlobe keloid with a surgical excision and subsequent pulsed Dye laser treatment. Results: The aesthetic result was good and no signs of recurrence was observed. Conclusion: We believe that the association between surgery and Pulsed-Dye laser can be useful to treat keloids reducing the risk of recurrence.