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Facial keloids. A 15-year experience
1Department of Otolaryngology-Head and Neck Surgery, University of Virginia Medical Center, Charlottesville, USA.
Background:
Keloids are relatively common sequelae of trauma to the skin of the head and neck. A wide variety of treatment approaches developed over the years document the difficulty in eradicating these lesions.
Objective:
To review the senior author's (W.H.L) 15-year experience in treating keloids both medically and surgically.
Design:
A retrospective analysis of 202 patients with histologically documented keloids of the head and neck with at least a 2-year follow-up.
Results:
A combination of precise surgical excision, postoperative steroid infiltration, silicone sheeting, and conservative auricular radiotherapy has resulted in an acceptable 15% recurrence rate overall.
Conclusions:
The treatment of facial keloids remains a challenge for the facial plastic and reconstructive surgeon. Precise surgical techniques with adjuvant therapies have resulted in a relatively low recurrence rate.