The ear is a common location for development of keloids. Piercing of the ear is by far the most common triggering factor for development of ear keloids. Other forms of injury to the ears such as surgery or unfortunate incidences of burns in patients who are genetically predisposed to keloid disorder may also lead to formation of ear keloids.
Keloid removal surgery is the main risk factor for development of recurrent ear keloids and is the only risk factor for development of semi-massive and massive ear keloids.
Early-stage Ear Keloids:
Ear keloids at their earliest stages appear in two distinct manners:
- Protruding papule on the surface of ear. This is by far the most frequently observed form of ear keloid at the site of a previous piercing.
- Inflammatory early-stage ear keloids. In rare occasions, the early-stage keloid process may present as a soft inflammatory lesion within the body of the earlobe.
Nodular/Tumoral Ear Keloids
If left untreated, almost all early-stage ear keloids will progress to form nodules or become tumoral. Nodular or tumoral ear keloids and shall NOT be excised surgically. It is the surgical excision of these small keloids that exposes the patients to an unnecessary risk for developing recurrent keloids that might grow to become even larger than the original keloid.
Semi-massive Ear Keloids:
Semi-massive ear keloids are those keloids that measure larger than half of the ear but not larger than the size of the ear. These keloids are exclusively seen in patients who have had prior keloid removal surgery. Repeated surgical excision of a previously treated keloid is the sole risk factor for development of semi-massive ear keloids.
Massive Ear Keloids:
Massive ear keloids are those keloids that measure larger than the size of the ear. These keloids exclusively seen in patients who have had multiple prior keloid removal surgeries, often in conjunction with radiation therapy. Repeated surgical excision of a previously treated keloid is the sole risk factor for development of massive ear keloids.
Early-Stage earlobe keloid.
Early-Stage Nodular Earlobe Keloid.
Nodular and Tumoral Earlobe Keloids.
Tumoral Earlobe Keloids - Recurrence after surgery.
Semi-Massive Ear Keloid -recurrence after surgery. Keloids of this size, or larger, are only seen in patients who have had prior keloid removal surgery.
Massive Ear Keloid. Keloid removal surgery is the only risk factor for this kind of ear keloid.
Treatment of Ear/Earlobe Keloids:
Treatment of ear keloid is determined by the stage of the keloid, size and location as well as prior treatments. In treating ear keloids, Dr. Tirgan follows the treatment guidelines that he has published. Click here to access the Ear Keloid Treatment Guideline.
Also, the videos shown below provide a visual guidance to Dr. Tirgan's methods of treating ear keloids.