[Irradiation prophylaxis of keloids and cicatricial hypertrophies (author's transl)].
The results obtained for 100 patients by combined surgical and radiation therapy are presented and by means of exemplary cases illustrated. As sson as 24 to 48 hours after excision of the keloid by mostly atraumatic surgical technique, and closing the wound as tension-free as possible, radiation therapy is begun. This takes place under the conditions of surface therapy in single doses of 1.5 Gray two or three times per week up to a total dose of 9 to 12 Gray. Good cosmetic and functional results can be achieved with this technique. The rate of recurrences is extremely low. The radiation load to the patient is so small that it seems justifiable to recommend the combined treatment as the routine method for therapy of keloids. In cases of a known disposition for developing keloids or cicatricial hypertrophies, postoperative radiation therapy is indicated as a prophylactic measure, especially after surgery in the facial region.
D000328:Adult; D002921:Cicatrix / Q000532:radiotherapy* / Q000601:surgery; D005260:Female; D006801:Humans; D006984:Hypertrophy; D007627:Keloid / Q000532:radiotherapy* / Q000601:surgery; D008297:Male; D011182:Postoperative Care; D011879:Radiotherapy Dosage; D013997:Time Factors
Strahlenprophylaxe von Keloiden und Narbenhypertrophien.