Combined Treatment of Earlobe Keloids with Shaving, Cryosurgery, and Intralesional Steroid Injection: A 1-Year Follow-Up


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Address correspondence and reprint requests to: Mariana Figueiroa Careta, MD, Hospital das Clínicas da Faculdade de Medicina da USP, Departamento de Dermatologia, Avenida Dr. Enéas de Carvalho Aguiar, 255, 3º Andar, sala 3016, CEP 01246–903 São Paulo-SP, Brazil, or e-mail:



Earlobe keloids are benign, fibrous proliferations that occur in predisposed persons at sites of cutaneous injury. No single best therapeutic modality is indicated.


To describe a 1-year follow-up of 12 patients with earlobe keloids treated by shaving followed by cryosurgery and intralesional injection of triamcinolone.

Materials and Methods

Twelve patients were treated with combined surgery and cryosurgery.


After 1 year, major response was observed in nine cases (75%) and moderate response in two cases (16%); one case had a relapse 5 months after the surgery.


These results are highly encouraging because all patients showed improvement. Shaving associated with cryosurgery seems to be a useful treatment for large keloids scars.