|
KMID : 0363220120500090768
|
|
Korean Journal of Dermatology
2012 Volume.50 No. 9 p.768 ~ p.772
|
|
|
A Comparative Study on Recurrence of Earlobe Keloids after Postoperative Adjuvant Therapy
|
|
Kim Hee-Joo
Jeong Seong-Kyu
Lee Kyung-Goo
Kim Jae-Hwan
Kim Il-Hwan
|
|
|
Abstract
|
|
|
Background: Earlobe keloids are a cosmetically and symptomatically bothersome clinical problem with frequent recurrence despite various treatments including surgical excision and intralesional injection of corticosteroids.
Objective: The aim of this study was to compare the results and recurrence of earlobe keloids after various postexcisional adjuvant therapies and to identify the most effective postoperation adjuvant therapy.
Methods: We retrospectively evaluated 36 patients with earlobe keloids (n=71) who underwent core excision and a suprakeloidal flap using photographs. One group did not have adjuvant therapy, one group was treated with adjuvant triamcinolone intralesional injection (TRA/ILI), and another group was treated with postoperative irradiation.
Results: Among treated 71 keloids, 18 lesions (25.4%) recurred; 42.9% (12/28) of the operation-only group and 19.4% (6/31) of TRA/ILI group showed recurrence. The adjuvant radiation therapy group had no recurrence. The difference in recurrence rate was statistically significant.
Conclusion: Postexcisional adjuvant therapy was more effective than excision monotherapy for keloid treatment, and radiation therapy had more sustained effects than that of TRA/ILI.
|
|
|
KEYWORD
|
|
|
Adjuvant therapy, Corticosteroid intralesional injection, Earlobe keloid, Radiotherapy
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|