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Clinical characteristics of facial keloids treated with surgical excision followed by intra- and postoperative intralesional steroid injections.
Park, Tae Hwan; Seo, Sang Won; Kim, June-Kyu; Chang, Choong Hyun.
Afiliación
  • Park TH; Department of Plastic and Reconstructive Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, 108 Pyung-Dong, Jongno-Gu, Seoul, 110-746, Korea.
Aesthetic Plast Surg ; 36(1): 169-73, 2012 Feb.
Article en En | MEDLINE | ID: mdl-21735339
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.
Asunto(s)

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Triamcinolona / Glucocorticoides / Queloide Tipo de estudio: Etiology_studies / Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Aesthetic Plast Surg Año: 2012 Tipo del documento: Article

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Triamcinolona / Glucocorticoides / Queloide Tipo de estudio: Etiology_studies / Guideline / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Aesthetic Plast Surg Año: 2012 Tipo del documento: Article