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Facial keloids. A 15-year experience

W H Lindsey1, P T Davis

  • 1Department of Otolaryngology-Head and Neck Surgery, University of Virginia Medical Center, Charlottesville, USA.

Archives of Otolaryngology--Head & Neck Surgery
|April 1, 1997
PubMed
Summary

This study reviews 15 years of keloid treatment, finding that a combination of surgery and adjuvant therapies like steroid injections and radiotherapy yields a 15% recurrence rate for head and neck keloids.

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Area of Science:

  • Dermatology
  • Plastic Surgery
  • Oncology (Radiotherapy)

Background:

  • Keloids are common skin lesions following trauma, particularly on the head and neck.
  • Effective eradication of keloids remains a significant clinical challenge.
  • Diverse treatment modalities have been explored with varying success rates.

Purpose of the Study:

  • To evaluate a 15-year experience in managing keloids.
  • To assess the efficacy of a combined medical and surgical treatment protocol.
  • To analyze outcomes for keloids affecting the head and neck region.

Main Methods:

  • Retrospective analysis of 202 patients with histologically confirmed keloids.
  • Inclusion criteria: head and neck location, minimum 2-year follow-up.
  • Treatment involved precise surgical excision, postoperative steroid infiltration, silicone sheeting, and radiotherapy.

Main Results:

  • An integrated treatment approach achieved an overall recurrence rate of 15%.
  • The combination therapy demonstrated effectiveness in managing challenging keloid cases.
  • Specific outcomes related to different treatment components were observed.

Conclusions:

  • Facial keloid treatment presents ongoing challenges for reconstructive surgeons.
  • Precise surgical techniques combined with adjuvant therapies are crucial for successful outcomes.
  • This approach resulted in a relatively low recurrence rate, indicating its clinical value.

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