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Strategy for Successful Management of Facial Keloid Using Triamcinolone Injection as Adjunct to Surgery
Bayo Aluko-Olokun1, Ademola Abayomi Olaitan
1*Department of Facial Surgery, National Hospital, Abuja†Department of Oral and Maxillofacial Surgery, Lagos State University, Lagos, Nigeria.
Abstract:
The literature on keloids is replete with authors expressing frustration with treatment results. Triamcinolone is effective in shrinking keloids and preventing their recurrence following excision, if delivered successfully. Strategies for effective delivery of drug are presented: recommended needle size, use of metal syringe, slow injection to avoid skin rupture, and delayed withdrawal of needle after injection. The futility of expecting pedunculated keloids to be completely flattened by steroid injection alone is mentioned.
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