April 1997

Facial KeloidsA 15-Year Experience

Author Affiliations

From the Department of Otolaryngology—Head and Neck Surgery, University of Virginia Medical Center, Charlottesville (Dr Lindsey) and The McLeod Regional Medical Center of the Pee Dee, Florence, SC (Dr Davis).

Arch Otolaryngol Head Neck Surg. 1997;123(4):397-400. doi:10.1001/archotol.1997.01900040031005

Background:  Keloids are relatively common sequelae of trauma to the skin of the head and neck. A wide variety of treatment approaches developed over the years document the difficulty in eradicating these lesions.

Objective:  To review the senior author's (W.H.L) 15year experience in treating keloids both medically and surgically.

Design:  A retrospective analysis of 202 patients with histologically documented keloids of the head and neck with at least a 2-year follow-up.

Results:  A combination of precise surgical excision, postoperative steroid infiltration, silicone sheeting, and conservative auricular radiotherapy has resulted in an acceptable 15% recurrence rate overall.

Conclusions:  The treatment of facial keloids remains a challenge for the facial plastic and reconstructive surgeon. Precise surgical techniques with adjuvant therapies have resulted in a relatively low recurrence rate.Arch Otolaryngol Head Neck Surg. 1997;123:397-400