Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 16, 2024; 12(20): 4434-4439
Published online Jul 16, 2024. doi: 10.12998/wjcc.v12.i20.4434
Ear keloid and epidermal cyst following auricular cartilage harvest for rhinoplasty: A case report
Jun Mo Kim, Ji Seon Cheon, Woo Young Choi
Jun Mo Kim, Woo Young Choi, Department of Plastic Reconstructive Surgery, Chosun University College of Medicine, Gwangju 61453, South Korea
Ji Seon Cheon, Department of Plastic and Reconstructive Surgery, Chosun University College of Medicine, Gwangju 61453, South Korea
Author contributions: Cheon JS, Kim JM, and Choi WY designed the case study; Kim JM analyzed the data; Cheon JS wrote the manuscript; All authors have read and approved the final manuscript.
Informed consent statement: The study participant provided informed written consent before enrolling in the study.
Conflict-of-interest statement: All authors declare no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ji Seon Cheon, PhD, Chief Doctor, Department of Plastic and Reconstructive Surgery, Chosun University College of Medicine, 365, Pilmun-daero, Dong-gu, Gwangju, Republic of Korea, Gwangju 61453, South Korea. ps9107@naver.com
Received: April 6, 2024
Revised: May 5, 2024
Accepted: June 3, 2024
Published online: July 16, 2024
Processing time: 84 Days and 13.4 Hours
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: Ear keloids, Epidermal cysts, Auricular cartilage harvesting, Rhinoplasty complications, Case report

Core Tip: This case report documents a rare co-occurrence of a keloid and an epidermal cyst at the site of auricular cartilage harvest used in rhinoplasty, emphasizing the complex interplay of surgical trauma and genetic predisposition in scar formation. It highlights the challenges in managing such dual complications, illustrating the necessity for meticulous surgical removal and postoperative care strategies to minimize recurrence and optimize cosmetic outcomes. The case underscores the importance of considering potential adverse sequelae in surgical planning and patient counseling.