Clinical Characteristics of Facial Keloids Treated With Surgical Excision Followed by Intra- and Postoperative Intralesional Steroid Injections.

Clinical Characteristics of Facial Keloids Treated With Surgical Excision Followed by Intra- and Postoperative Intralesional Steroid Injections.

Aesthetic Plast Surg. 2011 Jul 7;

Authors: Park TH, Seo SW, Kim JK, Chang CH

Abstract
BACKGROUND: The physiopathogenesis of keloid scars is not well understood. This report aims to present the authors' experiences with facial keloids, to evaluate their treatment outcomes via a prospective study, and to identify risk factors involved in facial keloid recurrence. METHODS: Patients with facial keloids were treated with surgical excision followed by intra- and postoperative intralesional steroid injections at Kangbuk Samsung Hospital between July 2005 and June 2010. Of 15 keloids, 8 (53.3%) had previously been treated unsuccessfully at other hospitals. The follow-up period was 18�months, and therapeutic outcomes were evaluated based on recurrence or nonrecurrence. RESULTS: The study evaluated 17 facial keloids in 15 patients. The overall recurrence-free rate was 76.5% after a follow-up period of 18�months. The authors hypothesized that the recurrence of keloids on the face is associated with both previous treatment and anatomic location. CONCLUSIONS: The authors' protocol resulted in successful outcomes for the treatment of facial keloids. Patients with a history of previous treatment and keloids in the perioral region should be monitored closely for signs of recurrence and managed cautiously during treatment.

PMID: 21735339 [PubMed - as supplied by publisher]

Source: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?tmpl=NoSidebarfile&db=PubMed&cmd=Retrieve&list_uids=21735339&dopt=Abstract

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