Papers of The 6th Japan Scar Workshop

14. Assessment of 135 Cases of Keloids Experienced To Date at the Kansai Medical University Hospital

Yoshihito Tanaka, Kenji Kusumoto, Takeshi Takemoto, Masakatu Hihara, Yasuko Tanaka

Department of Plastic and Reconstructive Surgery, Kansai Medical University Hospital, Osaka, Japan
A definitive therapy for keloids is not yet available, and so various treatments are performed. We initiated surgical treatments for keloids.
Here, we focus on surgical treatments and report the best treatment strategy for keloids.
In addition, the cases handled were those without recurrence in the postoperative suture area after more than one year.
Patients and methods: The study period was 5 years from January 1, 2006 to December 31, 2009. We studied 134 cases that could be followed up on for more than one year.
Results: In the treatment of keloids of the ears, a simple excision may be used in cases that are eligible for total resection. However, electron beam irradiation is needed when total excision is not feasible. Also, postoperative electron beam irradiation prevents recurrences, according to previous reports on keloids that occurred in sites other than the ears.
We think that it is necessary to make skin flaps to relieve tension in cases where there is strong tension in the suture area.
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