The Journal of Laryngology & Otology

Clinical Records

Meatoplasty keloid: a rare lesion treated with an unusual surgical approach

N P Shine a1c1 and Lew a1
a1 Department of Paediatric Otolaryngology, Princess Margaret Hospital, Perth, Western Australia, Australia

Article author query
shine np   [PubMed][Google Scholar] 
lew k   [PubMed][Google Scholar] 


Keloid scarring is a benign hyperproliferation of fibrous tissue occurring at a wound healing site. Keloid formation related to the ear is generally the result of ear-piercing, mainly causing cosmetic disfigurement. We present an unusual case of keloid formation at a previous meatoplasty incision scar in a 10-year-old Caucasian with a modified radical mastoid cavity. This lesion prevented the cavity from self-cleaning and obstructed microscopic evaluation of the cavity. Treatment was successfully performed by surgical excision, with closure of the defect using supra-keloid skin flaps, followed by serial steroid injection therapy.

(Published Online March 14 2006)
(Accepted October 28 2005)

Key Words: Keloid; Ear Deformities, Acquired; Otologic Surgical Procedures.

c1 Address for correspondence: Mr Neville P Shine, 5 Shem Court, St James Street, Cape Town 8001, Republic of South Africa. Fax: +27 21 4621898 E-mail: