Objective To evaluate the clinical effects of surgery combining with early local injection of triamcinolone acetonide in the treatment of auricle keloid. Methods Twelve patients (20 auricles) with keloid were treated by surgery. The keloids were partly or completely excised and corrected with local skin flap. Triamcinolone acetonide 10~20 mg diluted with 2% lidocaine was injected into the incision or scar tissue once 2 weeks 10 days after operation. Administration of this drug was gradually tapered according to the reduction of the scar. Results All the patients were followed up for 6 months to 3 years. Eight cases were cured without relapse, 4 cases showed partial remission. The rate of therapeutic effect was 100%. Conclusion Surgery combining with early injection of triamcinolone acetonide was an improved therapeutic method in the treatment of auricle keloid.