title: Management of chest keloids.
abstract: Keloid formation is one of the most challenging clinical problems in wound healing. With increasing frequency of open heart surgery, chest keloid formations are not infrequent in the clinical practice. The numerous treatment methods including surgical excision, intralesional steroid injection, radiation therapy, laser therapy, silicone gel sheeting, and pressure therapy underscore how little is understood about keloids. Keloids have a tendency to recur after surgical excision as a single treatment. Stretching tension is clearly associated with keloid generation, as keloids tend to occur on high tension sites such as chest region. The authors treated 58 chest keloid patients with surgical excision followed by intraoperative and postoperative intralesional steroid injection. Even with minor complications and recurrences, our protocol results in excellent outcomes in cases of chest keloids.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
authors.forename: Tae Hwan
authors.initials: TH
authors.lastname: Park
authors.forename: Sang Won
authors.initials: SW
authors.lastname: Seo
authors.forename: June Kyu
authors.initials: JK
authors.lastname: Kim
authors.forename: Choong Hyun
authors.initials: CH
authors.lastname: Chang
mesh_terms: D000328:Adult; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D015552:Injections, Intralesional; D007627:Keloid / Q000188:drug therapy / Q000601:surgery*; D008297:Male; D013256:Steroids / Q000627:therapeutic use*; D013909:Thorax / Q000473:pathology*; D016896:Treatment Outcome
chemical_list: D013256:Steroids