Abstract
Background
The physiopathogenesis of keloid scars is not well understood. This report aims to present the authors’ experiences with facial keloids, to evaluate their treatment outcomes via a prospective study, and to identify risk factors involved in facial keloid recurrence.
Methods
Patients with facial keloids were treated with surgical excision followed by intra- and postoperative intralesional steroid injections at Kangbuk Samsung Hospital between July 2005 and June 2010. Of 15 keloids, 8 (53.3%) had previously been treated unsuccessfully at other hospitals. The follow-up period was 18 months, and therapeutic outcomes were evaluated based on recurrence or nonrecurrence.
Results
The study evaluated 17 facial keloids in 15 patients. The overall recurrence-free rate was 76.5% after a follow-up period of 18 months. The authors hypothesized that the recurrence of keloids on the face is associated with both previous treatment and anatomic location.
Conclusions
The authors’ protocol resulted in successful outcomes for the treatment of facial keloids. Patients with a history of previous treatment and keloids in the perioral region should be monitored closely for signs of recurrence and managed cautiously during treatment.
Similar content being viewed by others
References
Park TH, Seo SW, Kim JK, Chang CH (2011) Management of chest keloids. J Cardiothorac Surg 6:49
Cosman B, Wolff M (1974) Bilateral earlobe keloids. Plast Reconstr Surg 53:540–543
Niessen FB, Spauwen PH, Schalkwijk J, Kon M (1999) On the nature of hypertrophic scars and keloids: a review. Plast Reconstr Surg 104:1435–1458
Dinh Q, Veness M, Richards S (2004) Role of adjuvant radiotherapy in recurrent earlobe keloids. Australas J Dermatol 45:162–166
Arons JA (2008) The results of surgical excision and adjuvant irradiation for therapy-resistant keloids: a prospective clinical outcome study. Plast Reconstr Surg 121:685; author reply 685–686
Ogawa R, Miyashita T, Hyakusoku H, Akaishi S, Kuribayashi S, Tateno A (2007) Postoperative radiation protocol for keloids and hypertrophic scars: statistical analysis of 370 sites followed for over 18 months. Ann Plast Surg 59:688–691
Ogawa R, Yoshitatsu S, Yoshida K, Miyashita T (2009) Is radiation therapy for keloids acceptable? The risk of radiation-induced carcinogenesis. Plast Reconstr Surg 124:1196–1201
Rosen DJ, Patel MK, Freeman K, Weiss PR (2007) A primary protocol for the management of ear keloids: results of excision combined with intraoperative and postoperative steroid injections. Plast Reconstr Surg 120:1395–1400
Chrisostomidis C, Konofaos P, Chrisostomidis G, Vasilopoulou A, Dimitroulis D, Frangoulis M, Papadopoulos O (2008) Management of external ear keloids using form-pressure therapy. Clin Exp Dermatol 33:273–275
Acknowledgment
We thank Yun Joo Park, MD, and Ji Hae Park, MD, for their helpful assistance in the editing of our manuscript.
Conflict of interest
The authors declares that they have no conflicts of interest to disclose.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Park, T.H., Seo, S.W., Kim, JK. et al. Clinical Characteristics of Facial Keloids Treated With Surgical Excision Followed by Intra- and Postoperative Intralesional Steroid Injections. Aesth Plast Surg 36, 169–173 (2012). https://doi.org/10.1007/s00266-011-9781-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00266-011-9781-1