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Keloid scar of the face
D M Wise1, J R Thomas, T A Cook
1Department of Otolaryngology, Head and Neck Surgery, Washington University School of Medicine, St. Louis, Missouri.
Head & Neck
|September 1, 1989
Summary
Consultants debated scar treatment methods, with options including surgery, irradiation, and steroid injections. They agreed on close follow-up and noted genetic risks for future scar development.
Area of Science:
- Dermatology
- Plastic Surgery
- Oncology
Background:
- Scar management presents diverse therapeutic challenges.
- Patient presentation necessitates a multidisciplinary approach.
Observation:
- Multiple treatment modalities were considered for scar revision.
- Disagreement existed regarding surgical intervention versus conservative management.
- Steroid injections (Kenalog) and irradiation were discussed as potential therapies.
Findings:
- Proposed treatments included scar excision with postoperative irradiation, excision with intraoperative and postoperative steroid injections plus pressure dressings, or intralesional steroid injections alone.
- Concerns were raised regarding steroid complications (atrophy, pigmentation changes, telangiectasias) and irradiation risks (head and neck malignancy).
Implications:
- Close patient follow-up is essential for optimal outcomes.
- Genetic predisposition for scar formation requires consideration for family members.
- Future research may clarify optimal scar treatment protocols.