Papers of The 2nd Japan Scar Workshop

19. Analysis of recurrent keloids after surgical excision alone

Mamiko Tosa M1, Masahiro Murakami1, Itaru Iwakiri1, Hiroki Umezawa1, Hiko Hyakusoku2

1:Department of Plastic and Reconsrtructive Surgery, Nippon Medical school Musashikosugi Hospital, Kawasaki, Japan
2:Department of Plastic and Reconstructive Surgery, Nippon Medical School, Tokyo, Japan

When a keloid recurs after surgical therapy alone, treatment tends to become difficult, and postoperative care to prevent a recurrence is important. We treated recurrent keloids after surgical therapy alone (17% of all keloids) and analyzed the outcomes. Most were abdominal postoperative recurrent keloids, and all enlarged in the direction of the pubic region. The keloid which reached pubic region in that was particularly refractory. Postoperative electron-beam irradiation therapy was effective in postoperative recurrent keloids of the ear lobe, but also caused defects in some cases. It is important to attempt to treat keloids in a single operation and perform postoperative care to prevent a recurrence.
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