Papers of The 2nd Japan Scar Workshop

2. Results of Surgical Excision Combined with Radiation Therapy for Keloids in Untypical Regions

Satoko Yamawaki, Motoko Naitoh, Toshihiro Ishiko, Mika Ikeda, Katuhiro Yoshikawa, Shigehiko Suzuki
Department of Plastic and Reconstructive Surgery, Kyoto University Graduated School of Medicine, Kyoto, Japan

Keloid treatment is challenging for plastic surgeons. We performed the combined treatment of surgical excision and postoperative radiation for 10 keloids in atypical regions: the nape, axilla, thigh, leg, and flexor side of the upper arm. After 2 years, the lesions were assessed by a novel assessment scale, which contained two points of view. The first was the subjective symptoms, itching and pain, which were scored into two grades. The second was the objective symptoms, redness, hardness, and elevation, which were scored into three grades. Evaluations were ranked into three stages, excellent, good, and poor. All cases were evaluated as excellent or good. Keloids in atypical regions were treated more effectively than those in typical regions by the combination of surgical excision and postoperative radiation.
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