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.
To review the senior author's (W.H.L) 15year experience in treating keloids both medically and surgically.
A retrospective analysis of 202 patients with histologically documented keloids of the head and neck with at least a 2-year follow-up.
A combination of precise surgical excision, postoperative steroid infiltration, silicone sheeting, and conservative auricular radiotherapy has resulted in an acceptable 15% recurrence rate overall.
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
Lindsey WH, Davis PT. Facial KeloidsA 15-Year Experience. Arch Otolaryngol Head Neck Surg. 1997;123(4):397-400. doi:10.1001/archotol.1997.01900040031005