A comparative study on recurrence of earlobe keloids after postoperative adjuvant therapy
- Authors
- Kim, H.J.; Jung, S.K.; Lee, K.G.; Kim, J.H.; Kim, I.-H.
- Issue Date
- 2012
- Keywords
- Adjuvant therapy; Corticosteroid intralesional injection; Earlobe keloid; Radiotherapy
- Citation
- Korean Journal of Dermatology, v.50, no.9, pp.768 - 772
- Indexed
- SCOPUS
KCI
- Journal Title
- Korean Journal of Dermatology
- Volume
- 50
- Number
- 9
- Start Page
- 768
- End Page
- 772
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/110590
- ISSN
- 0494-4739
- 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.
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Collections - College of Medicine > Department of Medical Science > 1. Journal Articles
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