Treatment of intractable scarring of the earlobe or auricular area

Scarring of the earlobe or auricular area is a serious cosmetic problem; after excision, an entrapment can be found in the scar, which is either residual material from the epithelium or an infected package; scar hyperplasia can occur after ear piercing. Scars in the earlobe or auricular area are prone to recurring after excision and each time they are a little larger than the previous one, making them one of the difficult scars to treat. Treatment options available: 1. Surgical treatment is in principle a simple procedure with no additional incisions. Wedge excision within the scar, digging out the kernel, careful and thorough excision of scar tissue, without leaving any foreign matter on the deep surface of the epidermis, retaining enough scar skin for covering the trauma, and tension-free suture of the incision. 2. The recurrence rate of simple surgery is 40%-100%. After surgery to remove the stitches, according to the specific circumstances, you can choose radiation therapy to reduce recurrence! Radiation therapy can be implemented 3 days after the removal of sutures after the surface scabs fall off; however, postoperative wound healing is poor, can be delayed to 1 week implementation. Radiation therapy can choose superficial X-ray radiotherapy, nuclide dressing Sr90 irradiation, nuclide P32 dressing irradiation or nuclide P32 colloid injection. 3. Pressure therapy should be carried out after removing the stitches of surgical treatment and observing for a few days. The effect of pressure therapy is certain. Two points of attention: the mold is suitable and the treatment time is enough, preferably more than 6 months. 4, injection therapy one week after the removal of surgical treatment of surgical treatment, you can local injection of tretinoin + lidocaine + fluorouracil, adhere to the effect of multiple injections to be good, such as once in January, 3 times; once in February, 3 times; once in March, 2 times; once in June, once in December and so on.