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KMID : 0374019960190010103
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Ewha Medical Journal
1996 Volume.19 No. 1 p.103 ~ p.108
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Combined Treatment of Keloids of Hypertrophic Scars
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Abstract
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Treating of established keloids or hypertrophic scare is difficult, several methods for
keloids treatment have been reported ; intralesional steroid injection, application of silastic gel
sheet, pressure garment and surgical excision. Three or four combined methods of them
produced better results than single method. An attempt was made to assess the value of 2
categories of combined treatment, the category 1 was intralesional steroid injection in
combination with pressure garment & silastic gel sheet intreating 43 keloids or hypertrophic
scars, the category 2 was surgry in combination with nonsurgical treatments in treating 7
patients. Nonsurgical combined treatment(category 1) was found be effective in the eradication
of symptoms(91% symptomatic relief), the texture change(93% success rate) and the height
change(56% partial flattening & 37% full flattening). Surgery in combination with nonsurgical
treatments(category 2) is also recommended as treatment for complicated recurrent keloids.
However more cases and longer follow up are necessary.
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KEYWORD
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