
Facial KeloidsA 15-Year Experience
William H. Lindsey, MD;
Paul T. Davis, MD
Arch Otolaryngol Head Neck Surg. 1997;123(4):397-400.
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
Author Affiliations
From the Department of Otolaryngology—Head and Neck Surgery, University of Virginia Medical Center, Charlottesville (Dr Lindsey) and The McLeod Regional Medical Center of the Pee Dee, Florence, SC (Dr Davis).
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