Neck area keloids are fairly uncommon and seen most often among individuals with black skin. Inflammation and wounding of the neck skin, either from ingrown hair or shaving blades, are perhaps the leading triggering factors in formation of these keloids in genetically susceptible individuals.
Here are some facts about neck area keloids.
Skin of neck is an uncommon place for development of keloids. Indeed many keloid patients, even those with most severe form of keloids, may never develop any keloids in the neck area. By far, the most important factor in development of a primary keloidal lesion is the injury to skin that leads to triggering of pathological wound healing response. Although piercing of the ears is a well-recognized triggering factor for development of primary ear keloids, no such factor has been definitively implicated in neck keloids. Neck area surgery is a known but uncommon triggering factor for formation of primary neck keloids.
Knowing that keloid is a genetic disorder of wound healing processes, it is counter-intuitive to resort to surgery as the mainstay of treatment. Surgical removal of neck keloids is a commonly practiced intervention, not only by ear-nose-throat specialists, but also by plastic surgeons as well as general dermatologists. Surgical intervention however, defies the very basic principal in keloid formation. The injury and insult from surgery to the skin that surrounds a keloidal lesion, on its own, will undoubtedly trigger a keloidal wound healing response that often leads to formation of a new keloid.
Treatment has to be planned very carefully. General principles of keloid treatment apply to these keloids as well. Surgery quite often results in worsening of these keloids, leading at times to loss of function and mobility of the neck. Radiation therapy should also be avoided, as it for sure will cause hypothyroidism, a new disease that the patients have to deal with for the rest of their lives. Radiation can also cause cancer of thyroid and damage to major blood vessels of the neck which may result in premature strokes and host of other long term complications.