Published online Jul 16, 2024. doi: 10.12998/wjcc.v12.i20.4434
Revised: May 5, 2024
Accepted: June 3, 2024
Published online: July 16, 2024
Processing time: 85 Days and 16.4 Hours
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.
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.
The effective management of complex skin trauma cases underscores the need for individualized treatment strategies in plastic surgery.
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.