Facial Keloids: A 15-Year Experience

Publisher Website
Google Scholar
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) 15year 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. Arch Otolaryngol Head Neck Surg. 1997;123:397-400