Intralesional cryosurgery for the treatment of keloid scars following cochlear implant surgery and removal of cholesteatoma

Ariel Roitman1,2,3 & Michal Luntz2,4,5,6 & Yaron Har-Shai2,3,7
Received: 17 December 2015 /Accepted: 8 February 2016
# Springer-Verlag Berlin Heidelberg 2016
Abstract The development of hypertrophic scars and
keloids is a relatively common complication of different
otologic procedures involving incision of the skin behind
the ear. This case report aims to describe the successful
treatment of keloids that developed following ear
surgeries that have been performed via a retro-auricular
approach (cochlear implantation and the removal of
cholesteatoma) by an intralesional cryosurgery method.
Two patients who were previously operated for an extensive
pediatric cholesteatoma and one patient who
underwent a cochlear implant surgery have developed
large keloids at the radix helix. The keloids were treated
under local anesthesia by the intralesional cryosurgery
method. Over a 6-month period, the scars gradually flattened
and became paler and the clinical symptoms of
itchiness, pain, and tenderness have significantly been
reduced. No complications were documented, and there
were no recurrences in a follow-up period of 30 months.
This case report demonstrates that intralesional cryosurgery
provides the surgeon with an effective method to
t r e a t keloid scar s following the removal of
cholesteatoma or cochlear implantation, thus improving
the quality of life and body image and enabling the
patients to use the implanted device in an adequate
and satisfactory way.
Level of Evidence: Level V, therapeutic study.
Keywords Keloid . Intralesional cryosurgery . Otologic
surgery . Cholesteatoma . Cochlear implant surgery