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Case Reports
. 2024 Jul 16;12(20):4434-4439.
doi: 10.12998/wjcc.v12.i20.4434.

Ear keloid and epidermal cyst following auricular cartilage harvest for rhinoplasty: A case report

Jun Mo Kim  1 , Ji Seon Cheon  2 , Woo Young Choi  1
Affiliations
Case Reports

Ear keloid and epidermal cyst following auricular cartilage harvest for rhinoplasty: A case report

Jun Mo Kim et al. World J Clin Cases. .

Abstract

Background: This case report highlights a rare instance of concurrent keloid and epidermal cyst development at an ear cartilage harvest site following rhinoplasty in a 25-year-old woman. Both conditions, which typically stem from skin trauma, seldom occur together, demonstrating the exceptional characteristics of this case.

Case summary: The patient underwent successful surgical removal of both the keloid and the epidermal cyst. Postoperative treatment included the use of silicone sheets, gel, and oral tranilast to reduce scarring. No recurrence was observed over a 6-mo follow-up period, indicating effective management of the condition.

Conclusion: The effective management of complex skin trauma cases underscores the need for individualized treatment strategies in plastic surgery.

Keywords: Auricular cartilage harvesting; Case report; Ear keloids; Epidermal cysts; Rhinoplasty complications.

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Conflict of interest statement

Conflict-of-interest statement: All authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Keloid scar on the posterior side of the left ear. A 25-year-old woman presented with a keloid scar measuring 2 cm × 2 cm × 1.5 cm on the posterior side of her left ear.
Figure 2
Figure 2
Intraoperative view of the ear keloid containing an epidermal cyst. A: Rupture of the epidermal cyst upon incision; B: Keloid tissue containing an encapsulated epidermal cyst.
Figure 3
Figure 3
Histological characteristics of the keloid with adjacent epidermal cyst. Histological image showing thick collagen bundles, a characteristic feature of keloid tissue, marked with circles. The adjacent area is encapsulated by stratified squamous epithelium containing keratin, indicative of an epidermal cyst, marked with asterisks. The tissue is stained with hematoxylin and eosin.
Figure 4
Figure 4
Follow-up photograph taken during suture removal on postoperative day 9.
See this image and copyright information in PMC

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