The Combination of Tunnel Shaped Excision with Radiotherapy and Injection of Type A Botulinum Toxin in the Treatment of Auricular Keloids

IF 2.8 3区医学 Q2 SURGERY Aesthetic Plastic Surgery Pub Date : 2025-02-26 DOI:10.1007/s00266-025-04735-w

Junjie Hou, Chang Liu

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Abstract

Background

To investigate the clinical effect of the combination of tunnel shaped excision with radiotherapy and injection of type A botulinum toxin in the treatment of auricular keloids.

Methods

From June 2017 to May 2023, a total of 52 cases with auricular keloids were treated with tunnel shaped excision combined with radiotherapy and the injection of type A botulinum toxin. The effects of this sequential treatment were analyzed and evaluated.

Results

No recurrence of keloids was observed in the enrolled patients, and no abnormal conditions such as ear deformities occurred. The postoperative auricle appearance of most patients was satisfactory and the shape was good.

Conclusion

The combination of tunnel shaped excision with radiotherapy and injection of type A botulinum toxin in the treatment of auricular keloids can achieve good therapeutic effects, resulting in satisfactory auricle morphology, and is worthy of clinical promotion.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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隧道状切除联合放疗及注射A型肉毒杆菌毒素治疗耳穴瘢痕疙瘩。

背景：探讨隧道状切除联合放疗加注射A型肉毒杆菌毒素治疗耳廓瘢痕疙瘩的临床效果。方法：2017年6月至2023年5月，对52例耳廓瘢痕瘤行隧道状切除联合放疗及注射a型肉毒杆菌毒素治疗。分析和评价了这种顺序治疗的效果。结果：本组患者无瘢痕疙瘩复发，无耳部畸形等异常情况发生。多数患者术后耳廓外观满意，形状良好。结论：隧道状切除联合放疗及注射A型肉毒杆菌毒素治疗耳廓瘢痕疙瘩可取得良好的治疗效果，耳廓形态满意，值得临床推广。证据等级iv：本刊要求作者为每篇文章指定一个证据等级。有关这些循证医学评级的完整描述，请参阅目录或在线作者说明www.springer.com/00266。

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来源期刊

Aesthetic Plastic Surgery 医学-外科

CiteScore

4.40

自引率

25.00%

发文量

479

审稿时长

3 months

期刊介绍： Aesthetic Plastic Surgery is a publication of the International Society of Aesthetic Plastic Surgery and the official journal of the European Association of Societies of Aesthetic Plastic Surgery (EASAPS), Società Italiana di Chirurgia Plastica Ricostruttiva ed Estetica (SICPRE), Vereinigung der Deutschen Aesthetisch Plastischen Chirurgen (VDAPC), the Romanian Aesthetic Surgery Society (RASS), Asociación Española de Cirugía Estética Plástica (AECEP), La Sociedad Argentina de Cirugía Plástica, Estética y Reparadora (SACPER), the Rhinoplasty Society of Europe (RSE), the Iranian Society of Plastic and Aesthetic Surgeons (ISPAS), the Singapore Association of Plastic Surgeons (SAPS), the Australasian Society of Aesthetic Plastic Surgeons (ASAPS), the Egyptian Society of Plastic and Reconstructive Surgeons (ESPRS), and the Sociedad Chilena de Cirugía Plástica, Reconstructiva y Estética (SCCP). Aesthetic Plastic Surgery provides a forum for original articles advancing the art of aesthetic plastic surgery. Many describe surgical craftsmanship; others deal with complications in surgical procedures and methods by which to treat or avoid them. Coverage includes "second thoughts" on established techniques, which might be abandoned, modified, or improved. Also included are case histories; improvements in surgical instruments, pharmaceuticals, and operating room equipment; and discussions of problems such as the role of psychosocial factors in the doctor-patient and the patient-public interrelationships. Aesthetic Plastic Surgery is covered in Current Contents/Clinical Medicine, SciSearch, Research Alert, Index Medicus-Medline, and Excerpta Medica/Embase.