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Arch Otolaryngol Head Neck Surg. 1997 Apr;123(4):397-400.

Facial keloids. A 15-year experience.

Author information

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

Abstract

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.

PMID:
9109787
[Indexed for MEDLINE]

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