Facial keloids. A 15-year experience.
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.


METHODS
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.
Lindsey
W H
WH
Department of Otolaryngology-Head and Neck Surgery, University of Virginia Medical Center, Charlottesville, USA.
Davis
P T
PT
D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D005148:Facial Dermatoses / Q000188:drug therapy / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007627:Keloid / Q000188:drug therapy / Q000209:etiology / Q000601:surgery*; D012008:Recurrence; D012189:Retrospective Studies; D014221:Triamcinolone / Q000627:therapeutic use
D000893:Anti-Inflammatory Agents; D014221:Triamcinolone