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KELOIDS AND HYPERTROPHIC SCARS: RESULTS WITH INTRA‐OPERATIVE AND SERIAL POSTOPERATIVE CORTICOSTEROID INJECTION THERAPY
Author(s) -
Chowdri Nisar Ahmad,
Mattoo Mohammad Masarat Ajaz,
Darzi Mohammad Ashraf
Publication year - 1999
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1046/j.1440-1622.1999.01658.x
Subject(s) - medicine , triamcinolone acetonide , hypertrophic scars , hypertrophic scar , surgery , scars , corticosteroid , lesion , keloid
Background : The management of keloids and hypertrophic scars continues to be controversial. Experience of treating 58 such lesions, 58.62% of which were recurrent, is presented. Methods : Each lesion was subjected to surgical excision with intra‐operative local injection of triamcinolone acetonide, followed by repeat injection of the same drug at weekly intervals for 2–5 weeks depending on the symptomatic relief, and then monthly injections for 4–6 months. Results : Complete symptomatic relief was achieved in all patients within 5 weeks of surgery. Objective response in terms of no recurrence was noted in 91.9% of patients with keloids, and 95.24% of patients with hypertrophic scars at a mean follow‐up of 30.5 months. Local or systemic complications were insignificant. Conclusion : Because of promising results, further use and evaluation of this method of treatment is recommended for large, recurrent and complicated keloids and hypertrophic scars.