Auricular Keloid is a pathological wound healing process due to the fibroproliferative process of abnormal cutaneous tissue where fibroblastic proliferation is not balanced with the apoptosis process. Keloid marked with existence of network growing scar beyond the limits of the original wound area and this scar tissue rarely undergoes spontaneous regression. Trauma, inflammation, surgical scars, and burns can cause scars where if the healing of this wound occurs excessively it will cause the formation of keloids. Although it does not cause mortality, keloids can affect the quality life in a way significant Because influence cosmetics And cause a feeling uncomfortable due to taste painful or itchy that accompanies it. By Therefore, proper keloid management is very important. 1,2
Until moment This governance keloid is a challenge Because Keloid tissue tends to recur after excision. There are various factors that are thought to influence severity and recurrence keloids, such as systemic factors (example influence factor immune And hormonal), local, And genetic (the influence of race and certain genes). Due to genetic influences, the prevalence of keloids is said to be more common in African, Asian, and Hispanic races. The incidence of keloids in the Asian population varies from 4.5% to 16%. 1.3
Area auricular is Wrong One location most frequent the occurrence keloids. Ear piercing is reason most frequent from keloid auricular. In addition factor systemic, and genetic factors, earring material and the type of ear piercing procedure can contribute to the formation of keloids on the auricle. There are various choice keloid management auricle, like surgery, injection steroids, therapy pressure, silicone
sheeting, cryotherapy, laser therapy, imiquimoid cream , and radiotherapy. However, until now there is no consensus regarding the therapeutic approach for auricular keloids. Keloid resection may be able to remove the keloid completely, but this treatment option has a fairly high recurrence rate (50-100%) so that various literature submit therapeutic approach combination for effective management of auricular keloids. Several studies have shown that the combination of surgical resection with radiation or postoperative steroid injection has a low recurrence rate. 3,4
In this case report, we report a 21-year-old male patient who own keloid on area lobe auricle consequence process piercing ear around 2 years earlier. Combination management approach resection surgery with postoperative corticosteroid injection showing good outcomes.