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A 7-year Experience with Keloid Fillet Flap and Adjuvant Intralesional Corticosteroids

CONTEXT: Keloids are fibroproliferative scars characterized by excessive collagen deposition beyond the margins of the original wound. Although many treatment modalities were described in the literature, no single first-line therapy is recommended, and its recurrence rate remains high. AIMS: The aim...

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Autores principales: Cerejeira, Diogo, Bonito, Frederico, António, Ana M, Goulão, Joao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8423199/
https://www.ncbi.nlm.nih.gov/pubmed/34566359
http://dx.doi.org/10.4103/JCAS.JCAS_170_19
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author Cerejeira, Diogo
Bonito, Frederico
António, Ana M
Goulão, Joao
author_facet Cerejeira, Diogo
Bonito, Frederico
António, Ana M
Goulão, Joao
author_sort Cerejeira, Diogo
collection PubMed
description CONTEXT: Keloids are fibroproliferative scars characterized by excessive collagen deposition beyond the margins of the original wound. Although many treatment modalities were described in the literature, no single first-line therapy is recommended, and its recurrence rate remains high. AIMS: The aim of this study was to investigate the efficacy rate in treating auricle keloids after fillet flap excision combined with adjuvant intralesional steroid injections. SETTINGS AND DESIGN: This was a retrospective study. MATERIALS AND METHODS: Between 2012 and 2019, a total of 16 auricle keloids were treated at our center with fillet flap excision and adjuvant steroid injections. Intralesional steroid injections were given at the end of the first week and then administered at 4-week intervals until the lesions were soft and flat. Postoperative efficacy, complications, recurrence, and patient satisfaction were analyzed. RESULTS: A high improvement of the keloid was observed in 13 (81.2%) lesions. No major complications and no recurrence of the keloid were detected during the follow-up period (mean, 35 months). Regarding patient satisfaction, nine (81.8%) considered their result as excellent. CONCLUSION: This study showed that this approach is effective regardless of the keloid location at the auricle.
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spelling pubmed-84231992021-09-24 A 7-year Experience with Keloid Fillet Flap and Adjuvant Intralesional Corticosteroids Cerejeira, Diogo Bonito, Frederico António, Ana M Goulão, Joao J Cutan Aesthet Surg Original Article CONTEXT: Keloids are fibroproliferative scars characterized by excessive collagen deposition beyond the margins of the original wound. Although many treatment modalities were described in the literature, no single first-line therapy is recommended, and its recurrence rate remains high. AIMS: The aim of this study was to investigate the efficacy rate in treating auricle keloids after fillet flap excision combined with adjuvant intralesional steroid injections. SETTINGS AND DESIGN: This was a retrospective study. MATERIALS AND METHODS: Between 2012 and 2019, a total of 16 auricle keloids were treated at our center with fillet flap excision and adjuvant steroid injections. Intralesional steroid injections were given at the end of the first week and then administered at 4-week intervals until the lesions were soft and flat. Postoperative efficacy, complications, recurrence, and patient satisfaction were analyzed. RESULTS: A high improvement of the keloid was observed in 13 (81.2%) lesions. No major complications and no recurrence of the keloid were detected during the follow-up period (mean, 35 months). Regarding patient satisfaction, nine (81.8%) considered their result as excellent. CONCLUSION: This study showed that this approach is effective regardless of the keloid location at the auricle. Wolters Kluwer - Medknow 2021 /pmc/articles/PMC8423199/ /pubmed/34566359 http://dx.doi.org/10.4103/JCAS.JCAS_170_19 Text en Copyright: © 2021 Journal of Cutaneous and Aesthetic Surgery https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Cerejeira, Diogo
Bonito, Frederico
António, Ana M
Goulão, Joao
A 7-year Experience with Keloid Fillet Flap and Adjuvant Intralesional Corticosteroids
title A 7-year Experience with Keloid Fillet Flap and Adjuvant Intralesional Corticosteroids
title_full A 7-year Experience with Keloid Fillet Flap and Adjuvant Intralesional Corticosteroids
title_fullStr A 7-year Experience with Keloid Fillet Flap and Adjuvant Intralesional Corticosteroids
title_full_unstemmed A 7-year Experience with Keloid Fillet Flap and Adjuvant Intralesional Corticosteroids
title_short A 7-year Experience with Keloid Fillet Flap and Adjuvant Intralesional Corticosteroids
title_sort 7-year experience with keloid fillet flap and adjuvant intralesional corticosteroids
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8423199/
https://www.ncbi.nlm.nih.gov/pubmed/34566359
http://dx.doi.org/10.4103/JCAS.JCAS_170_19
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