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A Comparative Study on Recurrence of Earlobe Keloids after Postoperative Adjuvant Therapy / 대한피부과학회지
Korean Journal of Dermatology ; : 768-772, 2012.
Artigo em Coreano | WPRIM | ID: wpr-109156
ABSTRACT

BACKGROUND:

Earlobe keloids are a cosmetically and symptomatically bothersome clinical problem with frequent recurrence despite various treatments including surgical excision and intralesional injection of corticosteroids.

OBJECTIVE:

The aim of this study was to compare the results and recurrence of earlobe keloids after various postexcisional adjuvant therapies and to identify the most effective postoperation adjuvant therapy.

METHODS:

We retrospectively evaluated 36 patients with earlobe keloids (n=71) who underwent core excision and a suprakeloidal flap using photographs. One group did not have adjuvant therapy, one group was treated with adjuvant triamcinolone intralesional injection (TRA/ILI), and another group was treated with postoperative irradiation.

RESULTS:

Among treated 71 keloids, 18 lesions (25.4%) recurred; 42.9% (12/28) of the operation-only group and 19.4% (6/31) of TRA/ILI group showed recurrence. The adjuvant radiation therapy group had no recurrence. The difference in recurrence rate was statistically significant.

CONCLUSION:

Postexcisional adjuvant therapy was more effective than excision monotherapy for keloid treatment, and radiation therapy had more sustained effects than that of TRA/ILI.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Recidiva / Triancinolona / Injeções Intralesionais / Estudos Retrospectivos / Queloide Tipo de estudo: Estudo observacional Limite: Humanos Idioma: Coreano Revista: Korean Journal of Dermatology Ano de publicação: 2012 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Recidiva / Triancinolona / Injeções Intralesionais / Estudos Retrospectivos / Queloide Tipo de estudo: Estudo observacional Limite: Humanos Idioma: Coreano Revista: Korean Journal of Dermatology Ano de publicação: 2012 Tipo de documento: Artigo