Clinical Papers: Northeastern Society of Plastic SurgeonsThe Role of Full-Thickness Skin Grafting and Steroid Injection in the Treatment of Auricular KeloidsBrown, Nefertiti A. MD*; Ortega, F Raymond MD†Author Information From the *Department of Surgery, SUNY Downstate Medical Center, Brooklyn, NY; and †Division of Plastic and Reconstructive Surgery, Columbia University, College of Physician and Surgeons, Columbia University Medical Center, New York, NY. Received February 26, 2010, and accepted for publication, March 2, 2010. Presented at the 26th Annual Meeting of the Northeastern Society of Plastic Surgeons, Charleston, SC, September 2009. Reprints: Nefertiti A. Brown, MD, Department of Surgery, SUNY Downstate Medical Center, 450 Clarkson Avenue, Box 40, Brooklyn, NY 11203. E-mail: [email protected]. Annals of Plastic Surgery: May 2010 - Volume 64 - Issue 5 - p 637-638 doi: 10.1097/SAP.0b013e3181dba8aa Buy Metrics Abstract Keloids are a response to wound healing that occurs due to hyperproliferation of dermal collagen in response to skin injury (Olabanji et al, Surg Pract. 2005;9:2–7). Multiple modalities have been described in the literature to target these lesions, but treatment and prevention remain a challenge because of the high rate of recurrence (Brissett and Sherris, Facial Plast Surg. 2001;17:263–272; Kelly, Dermatol Ther. 2004;17:212–218; Robles and Berg, Clin Dermatol. 2007;25:26–32; Porter, Otolaryngol Clin North Am. 2002;35:207–220, viii). We studied the rate of recurrence of auricular keloids through a technique previously described in the literature (Converse and Stallings, Plast Reconstr Surg. 1972;49:461–463), but over a series of patients. Keloids were treated with total excision in combination with coverage of the resulting defect with a full-thickness skin graft and intradermal injection of triamcinolone acetonide solution at the periphery of the donor and recipient sites. From April 2006 to February 2007, 10 patients with auricular keloids were done using this technique, and during an 11-month follow-up no recurrence was observed. These results support that full-thickness skin grafts can be used to address keloid lesions without recurrence. © 2010 Lippincott Williams & Wilkins, Inc.