Abstract：
BACKGROUND: Ear keloids, often resulting from ear piercing or other traumas, significantly alter appearance, adversely impacting patients\' quality of life and psychological well-being. Thus, developing an effective and esthetically pleasing surgical repair technique is crucial for enhancing patient quality of life.
METHODS: This study introduces a novel tripartite surgical approach, which includes arcuate incision design, blind dissection for scar flap, and centrifugal keloid core serial shave excision (ABC for short). This technique is particularly suited for keloids induced by ear piercing that are inoperable for direct suturing or where direct suturing significantly alters the ear contour.
RESULTS: In this study, 17 patients underwent the surgical treatment without observing special complications such as infection or necrosis. Long-term postoperative follow-up demonstrated good restoration of the ear contour, with only one case of recurrence. Patients expressed satisfaction with both the surgical process and outcomes.
CONCLUSIONS: The triple surgical technique (ABC surgery method) for treating auricular keloids has demonstrated excellent repair results, significantly improving auricle shape. Despite relying on the surgeon\'s experience, keloid characteristics, and patient comorbidities, it provides an effective treatment option. When combined with local radiotherapy, the recurrence rate is also significantly controlled.
METHODS: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
METHODS: This study introduces a novel tripartite surgical approach, which includes arcuate incision design, blind dissection for scar flap, and centrifugal keloid core serial shave excision (ABC for short). This technique is particularly suited for keloids induced by ear piercing that are inoperable for direct suturing or where direct suturing significantly alters the ear contour.
RESULTS: In this study, 17 patients underwent the surgical treatment without observing special complications such as infection or necrosis. Long-term postoperative follow-up demonstrated good restoration of the ear contour, with only one case of recurrence. Patients expressed satisfaction with both the surgical process and outcomes.
CONCLUSIONS: The triple surgical technique (ABC surgery method) for treating auricular keloids has demonstrated excellent repair results, significantly improving auricle shape. Despite relying on the surgeon\'s experience, keloid characteristics, and patient comorbidities, it provides an effective treatment option. When combined with local radiotherapy, the recurrence rate is also significantly controlled.
METHODS: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
摘要：
背景：耳朵瘢痕疙瘩，通常是由于耳朵穿孔或其他创伤造成的，显著改变外观，对患者的生活质量和心理健康产生不利影响。因此，开发一种有效且美观的手术修复技术对于提高患者的生活质量至关重要。
方法：这项研究引入了一种新颖的三方手术方法，其中包括弓形切口设计，疤痕皮瓣盲解剖,和离心瘢痕疙瘩核心连续剃须切除术（简称ABC）。该技术特别适用于由耳穿刺引起的瘢痕疙瘩,其对于直接缝合或直接缝合显著改变耳轮廓是不可操作的。
结果：在这项研究中，17例患者接受了手术治疗，未观察到感染或坏死等特殊并发症。术后长期随访显示耳朵轮廓恢复良好，只有一例复发。患者对手术过程和结果表示满意。
结论：用于治疗耳廓瘢痕疙瘩的三重手术技术（ABC手术方法）显示出优异的修复效果，显著改善耳廓形状。尽管依靠外科医生的经验,瘢痕疙瘩特征,和病人的合并症，它提供了一种有效的治疗选择。当结合局部放疗时，复发率也得到了显著控制。
方法：本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述，请参阅目录或在线作者说明www。springer.com/00266.
方法：这项研究引入了一种新颖的三方手术方法，其中包括弓形切口设计，疤痕皮瓣盲解剖,和离心瘢痕疙瘩核心连续剃须切除术（简称ABC）。该技术特别适用于由耳穿刺引起的瘢痕疙瘩,其对于直接缝合或直接缝合显著改变耳轮廓是不可操作的。
结果：在这项研究中，17例患者接受了手术治疗，未观察到感染或坏死等特殊并发症。术后长期随访显示耳朵轮廓恢复良好，只有一例复发。患者对手术过程和结果表示满意。
结论：用于治疗耳廓瘢痕疙瘩的三重手术技术（ABC手术方法）显示出优异的修复效果，显著改善耳廓形状。尽管依靠外科医生的经验,瘢痕疙瘩特征,和病人的合并症，它提供了一种有效的治疗选择。当结合局部放疗时，复发率也得到了显著控制。
方法：本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述，请参阅目录或在线作者说明www。springer.com/00266.
