title: Facial keloids. A 15-year experience.
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.
  
  
  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.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of Virginia Medical Center, Charlottesville, USA.
authors.forename: W H
authors.initials: WH
authors.lastname: Lindsey
authors.forename: P T
authors.initials: PT
authors.lastname: Davis
mesh_terms: 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
chemical_list: D000893:Anti-Inflammatory Agents; D014221:Triamcinolone