[Treatment of keloids].

Area of Science:

• Dermatology
• Wound Healing
• Fibroproliferative Diseases

Background:

• Keloids are a common type of fibroproliferative disease.
• They often lead to significant cosmetic and functional impairment, accompanied by symptoms like itching and pain.
• The exact pathogenesis of keloids remains unclear, and current treatments are frequently prolonged and unsatisfactory.

Purpose of the Study:

• To review the current therapeutic options for keloid treatment.
• To highlight the potential of multimodal treatment concepts.
• To assess the effectiveness of these concepts, especially for auricular keloids.

Main Methods:

• Review of existing literature on keloid treatment.
• Analysis of studies focusing on various therapeutic modalities.
• Evaluation of multimodal approaches, particularly in the context of auricular keloids.

Main Results:

• A wide range of treatments exist for keloids, but the evidence base is limited by small study sizes.
• Multimodal treatment strategies appear promising for managing keloids.
• Good results have been observed with multimodal concepts, specifically for auricular keloid cases.

Conclusions:

• Keloid treatment remains challenging due to unclear pathogenesis and limited high-quality evidence.
• Multimodal therapeutic concepts represent a promising avenue for improving keloid management.
• Further research with larger studies is needed to establish definitive treatment guidelines.