Postsurgical acrylic ear splints for keloids.

It is generally acknowledged that earlobe keloids are best surgically resected and repaired while attempting to leave a residual skeletal cartilaginous soft-tissue framework, oftentimes composed of keloidal tissue itself. Whether grafts, flaps, or primary incision and closure are performed, the success of each procedure may require the adjuvant use of pressure to the involved ear-lobes for at least a year. Where gross deformity has existed, the use of an "oyster splint" seems to act as a pressure remolding device.