Original Article
Surgical Treatment of Relapsing Keloid of the Pinna by Fillet Flap
Tratamiento quirúrgico del queloide recidivante de pabellón auricular mediante «colgajo en filete»
P. Valerón-Almazán, L. Dehesa-García, J. Vilar-Alejo, J. Domínguez-Silva, J. Gómez-Duaso, G. Carretero-Hernández
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Servicio de Dermatología, Hospital Universitario de Gran Canaria Doctor Negrín, Las Palmas de Gran Canaria, Spain
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Porto Ferreira, C.J. Martins, P.R. Issa, R. de Vasconcellos Carvalhaes de Oliveira, A.M. Da-Cruz" "autores" => array:5 [ 0 => array:2 [ "nombre" => "C." "apellidos" => "Porto Ferreira" ] 1 => array:2 [ "nombre" => "C.J." "apellidos" => "Martins" ] 2 => array:2 [ "nombre" => "P.R." "apellidos" => "Issa" ] 3 => array:2 [ "nombre" => "R." "apellidos" => "de Vasconcellos Carvalhaes de Oliveira" ] 4 => array:2 [ "nombre" => "A.M." "apellidos" => "Da-Cruz" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219010706211?idApp=UINPBA000044" "url" => "/15782190/0000010100000003/v1_201304241518/S1578219010706211/v1_201304241518/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original Article</span>" "titulo" => "Surgical Treatment of Relapsing Keloid of the Pinna by Fillet Flap" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "235" "paginaFinal" => "241" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "P. Valerón-Almazán, L. Dehesa-García, J. Vilar-Alejo, J. Domínguez-Silva, J. Gómez-Duaso, G. Carretero-Hernández" "autores" => array:6 [ 0 => array:2 [ "nombre" => "P." "apellidos" => "Valerón-Almazán" ] 1 => array:2 [ "nombre" => "L." "apellidos" => "Dehesa-García" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Vilar-Alejo" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Domínguez-Silva" ] 4 => array:2 [ "nombre" => "J." "apellidos" => "Gómez-Duaso" ] 5 => array:4 [ "nombre" => "G." "apellidos" => "Carretero-Hernández" "email" => array:1 [ 0 => "gcarher@gobiernodecanarias.org" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Dermatología, Hospital Universitario de Gran Canaria Doctor Negrín, Las Palmas de Gran Canaria, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Tratamiento quirúrgico del queloide recidivante de pabellón auricular mediante «colgajo en filete»" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-05-04" "fechaAceptado" => "2009-09-03" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec84717" "palabras" => array:4 [ 0 => "Flap" 1 => "Pinna" 2 => "Keloid" 3 => "Relapsing" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec84716" "palabras" => array:4 [ 0 => "Colgajo" 1 => "Auricular" 2 => "Queloide" 3 => "Recidivante" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Background and objectives</span><p class="elsevierStyleSimplePara elsevierViewall">Keloid scars occur when, compared to normal healing, there is excessive formation of collagen after skin wounds or burns. Different treatments have been tried, though no particular one has been shown to be superior. The objective of this study was to assess the usefulness of the surgical technique originally described as keloid fillet flap in the management of relapsing keloids of the pinna.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p class="elsevierStyleSimplePara elsevierViewall">The study included 10 patients (8 men, 9 white and 1 black) with a keloid on the retroauricular region or earlobe of more than 1 year duration, who had undergone previous treatment (surgery and topical or injected corticosteroids) without a good outcome or with relapse, and who had not received any treatment in the previous 6 months.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Five patients were treated with a fillet flap procedure only, while the other 5, in addition to the procedure, also applied 5% imiquimod cream 5 times a week for 1 to 3 months. In 4 patients, no relapse was observed after the intervention. Two patients had partial flap necrosis, with subsequent partial relapse in one of these. Eighty percent reported the outcome of the procedure as good or excellent.</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p class="elsevierStyleSimplePara elsevierViewall">We achieved a response rate of 40% in the treatment of relapsing keloid of the pinna by a fillet flap procedure. This may be an alternative within the therapeutic arsenal for the treatment of relapsing keloid of the pinna, given that it does not require extensive resources and the skills needed to perform the procedure can be quickly acquired.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción y objetivos</span><p class="elsevierStyleSimplePara elsevierViewall">El queloide se caracteriza por la formación excesiva de colágeno respecto a la cicatrización normal y puede aparecer de forma secundaria tras una herida o quemadura cutánea. Para su corrección se han ensayado diversos tratamientos, sin que ninguno haya demostrado su superioridad. El objetivo de este estudio es valorar la utilidad de la técnica quirúrgica originalmente descrita como <span class="elsevierStyleItalic">keloid fillet flap</span> (colgajo «en filete») para el tratamiento de queloides auriculares recidivantes.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Se seleccionaron diez pacientes (ocho varones, nueve de raza blanca, uno de raza negra) con queloide retroauricular o de lóbulo recidivante de más de un año de evolución, que habían recibido tratamiento previo (cirugía y corticoides tópicos o en infiltración) sin resultado o con recidiva, y que no habían recibido ningún tipo de tratamiento en los últimos seis meses.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Cinco pacientes fueron tratados quirúrgicamente solo con colgajo «en filete» y otros cinco con colgajo e imiquimod crema al 5% cinco veces por semana durante uno a tres meses. En cuatro pacientes no se apreció recidiva tras la intervención. Dos pacientes presentaron necrosis parcial del colgajo, uno de los cuales desarrolló recidiva parcial de la lesión. El 80% calificó el resultado de la intervención como bueno o excelente.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Hemos conseguido un 40% de respuesta en el tratamiento del queloide auricular recidivante mediante la realización de colgajo «en filete». Este puede representar una alternativa dentro del arsenal terapéutico disponible para el tratamiento del queloide auricular recidivante, dado que no necesita de grandes medios y puede realizarse después de un entrenamiento mínimo.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:22 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 3 | 6 | 9 |
| 2024 October | 60 | 67 | 127 |
| 2024 September | 49 | 48 | 97 |
| 2024 August | 83 | 70 | 153 |
| 2024 July | 54 | 54 | 108 |
| 2024 June | 63 | 34 | 97 |
| 2024 May | 55 | 53 | 108 |
| 2024 April | 52 | 33 | 85 |
| 2024 March | 57 | 44 | 101 |
| 2024 February | 35 | 39 | 74 |
| 2024 January | 37 | 55 | 92 |
| 2023 December | 46 | 55 | 101 |
| 2023 November | 34 | 54 | 88 |
| 2023 October | 36 | 37 | 73 |
| 2023 September | 31 | 38 | 69 |
| 2023 August | 25 | 40 | 65 |
| 2023 July | 32 | 72 | 104 |
| 2023 June | 32 | 48 | 80 |
| 2023 May | 34 | 70 | 104 |
| 2023 April | 26 | 68 | 94 |
| 2023 March | 30 | 56 | 86 |
| 2023 February | 34 | 65 | 99 |
| 2023 January | 43 | 52 | 95 |
| 2022 December | 54 | 57 | 111 |
| 2022 November | 34 | 54 | 88 |
| 2022 October | 31 | 52 | 83 |
| 2022 September | 17 | 62 | 79 |
| 2022 August | 13 | 67 | 80 |
| 2022 July | 15 | 51 | 66 |
| 2022 June | 13 | 73 | 86 |
| 2022 May | 21 | 76 | 97 |
| 2022 April | 32 | 71 | 103 |
| 2022 March | 28 | 84 | 112 |
| 2022 February | 17 | 85 | 102 |
| 2022 January | 25 | 131 | 156 |
| 2021 December | 18 | 85 | 103 |
| 2021 November | 25 | 88 | 113 |
| 2021 October | 22 | 107 | 129 |
| 2021 September | 17 | 80 | 97 |
| 2021 August | 40 | 109 | 149 |
| 2021 July | 22 | 85 | 107 |
| 2021 June | 28 | 69 | 97 |
| 2021 May | 24 | 73 | 97 |
| 2021 April | 40 | 109 | 149 |
| 2021 March | 50 | 77 | 127 |
| 2021 February | 41 | 62 | 103 |
| 2021 January | 25 | 53 | 78 |
| 2020 December | 18 | 31 | 49 |
| 2020 November | 19 | 42 | 61 |
| 2020 October | 14 | 24 | 38 |
| 2020 September | 37 | 18 | 55 |
| 2020 August | 26 | 34 | 60 |
| 2020 July | 17 | 24 | 41 |
| 2020 June | 29 | 43 | 72 |
| 2020 May | 20 | 48 | 68 |
| 2020 April | 17 | 24 | 41 |
| 2020 March | 20 | 24 | 44 |
| 2020 February | 2 | 13 | 15 |
| 2020 January | 0 | 13 | 13 |
| 2019 December | 0 | 21 | 21 |
| 2019 November | 0 | 11 | 11 |
| 2019 October | 0 | 5 | 5 |
| 2019 September | 0 | 5 | 5 |
| 2019 August | 0 | 10 | 10 |
| 2019 July | 0 | 10 | 10 |
| 2019 June | 0 | 3 | 3 |
| 2019 May | 0 | 43 | 43 |
| 2019 April | 0 | 3 | 3 |
| 2019 March | 0 | 4 | 4 |
| 2019 February | 0 | 3 | 3 |
| 2018 May | 0 | 6 | 6 |
| 2018 April | 0 | 3 | 3 |
| 2018 February | 18 | 5 | 23 |
| 2018 January | 9 | 4 | 13 |
| 2017 December | 21 | 7 | 28 |
| 2017 November | 14 | 6 | 20 |
| 2017 October | 18 | 4 | 22 |
| 2017 September | 20 | 4 | 24 |
| 2017 August | 35 | 9 | 44 |
| 2017 July | 26 | 8 | 34 |
| 2017 June | 33 | 18 | 51 |
| 2017 May | 12 | 4 | 16 |
| 2017 April | 11 | 3 | 14 |
| 2017 March | 13 | 14 | 27 |
| 2017 February | 23 | 11 | 34 |
| 2017 January | 15 | 6 | 21 |
| 2016 December | 27 | 5 | 32 |
| 2016 November | 29 | 3 | 32 |
| 2016 October | 57 | 18 | 75 |
| 2016 September | 21 | 11 | 32 |
| 2016 August | 35 | 4 | 39 |
| 2016 July | 26 | 6 | 32 |
| 2016 June | 7 | 3 | 10 |
| 2016 May | 7 | 7 | 14 |
| 2016 April | 4 | 14 | 18 |
| 2016 March | 1 | 9 | 10 |
| 2016 February | 6 | 9 | 15 |
| 2016 January | 8 | 10 | 18 |
| 2015 December | 8 | 2 | 10 |
| 2015 November | 10 | 2 | 12 |
| 2015 October | 4 | 5 | 9 |
| 2015 September | 4 | 6 | 10 |
| 2015 August | 10 | 5 | 15 |
| 2015 July | 37 | 5 | 42 |
| 2015 June | 45 | 9 | 54 |
| 2015 May | 73 | 16 | 89 |
| 2015 April | 43 | 15 | 58 |
| 2015 March | 39 | 11 | 50 |
| 2015 February | 34 | 5 | 39 |
| 2015 January | 35 | 14 | 49 |
| 2014 December | 34 | 9 | 43 |
| 2014 November | 35 | 14 | 49 |
| 2014 October | 40 | 10 | 50 |
| 2014 September | 42 | 11 | 53 |
| 2014 August | 35 | 11 | 46 |
| 2014 July | 49 | 18 | 67 |
| 2014 June | 47 | 17 | 64 |
| 2014 May | 59 | 16 | 75 |
| 2014 April | 49 | 13 | 62 |
| 2014 March | 44 | 15 | 59 |
| 2014 February | 32 | 14 | 46 |
| 2014 January | 46 | 19 | 65 |
| 2013 December | 51 | 17 | 68 |
| 2013 November | 27 | 17 | 44 |
| 2013 October | 41 | 24 | 65 |
| 2013 September | 46 | 28 | 74 |
| 2013 August | 39 | 25 | 64 |
| 2013 July | 33 | 37 | 70 |
| 2013 June | 30 | 41 | 71 |
| 2013 May | 21 | 33 | 54 |
| 2013 April | 30 | 44 | 74 |
| 2013 March | 47 | 41 | 88 |
| 2013 February | 13 | 14 | 27 |
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