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Michael H. Tirgan, MD
Atlas of Ear Keloids
Atlas of Ear Keloids
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This atlas is a compilation of numerous case studies of ear keloids in patients treated personally by Dr. Michael H. Tirgan. The focus of this book is to review the clinical presentation and natural history of ear keloids.
Throughout this book, the reader will learn that not all ear keloids are the same. Every patient presents with a unique problem. Therefore, the treatment of ear keloids should be customized for each patient. Obviously, the first instinct in a young person who develops ear keloid(s) is to have the keloid(s) surgically removed. As documented throughout this book, rushing into surgery will often result in a worsening of the keloid. This book provided a better understanding of some very basic facts that will encourage more effective treatment choices.
Keloid Disorder is a genetic condition of the skin. Some individuals are born with a propensity to develop keloids. In addition to the genetic predisposition to develop keloids, there must be an injury to the skin that would trigger abnormal wound healing processes.
The ears are common locations for the development of keloids. The injury that triggers ear keloid formation is almost always due to piercing.
The second most common type of injury to the ear is surgery, either to remove a previously formed keloid, or surgery for other reasons, such as otoplasty to reshape the ears, or facelift surgery.
The worsening of earlobe keloids after surgical excision is most definitely due to triggering the underlying dysregulated wound healing mechanisms. This is in response to a new, yet greater, dermal injury--i.e. surgery--which is more extensive in nature than the original piercing injury.
With 134 full color images, this book illustrates ear keloids in various stages of development. In addition to being a reference book for the medical professionals, this book is a must read for anyone who suffers ear keloid, especially those who are just diagnosed with this condition.
Throughout this book, the reader will learn that not all ear keloids are the same. Every patient presents with a unique problem. Therefore, the treatment of ear keloids should be customized for each patient. Obviously, the first instinct in a young person who develops ear keloid(s) is to have the keloid(s) surgically removed. As documented throughout this book, rushing into surgery will often result in a worsening of the keloid. This book provided a better understanding of some very basic facts that will encourage more effective treatment choices.
Keloid Disorder is a genetic condition of the skin. Some individuals are born with a propensity to develop keloids. In addition to the genetic predisposition to develop keloids, there must be an injury to the skin that would trigger abnormal wound healing processes.
The ears are common locations for the development of keloids. The injury that triggers ear keloid formation is almost always due to piercing.
The second most common type of injury to the ear is surgery, either to remove a previously formed keloid, or surgery for other reasons, such as otoplasty to reshape the ears, or facelift surgery.
The worsening of earlobe keloids after surgical excision is most definitely due to triggering the underlying dysregulated wound healing mechanisms. This is in response to a new, yet greater, dermal injury--i.e. surgery--which is more extensive in nature than the original piercing injury.
With 134 full color images, this book illustrates ear keloids in various stages of development. In addition to being a reference book for the medical professionals, this book is a must read for anyone who suffers ear keloid, especially those who are just diagnosed with this condition.
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