Outcome of Ear Keloid Treatment After Surgical Excision and Postoperative Steroid Injections in Ratchaburi Hospital
Keywords:
ear keloids, excision, intralesional steroids injection, triamcinolone acetonideAbstract
Objective: The purpose was to investigate the efficacy and recurrence rate of ear keloid treatment with excision and postoperative intralesional triamcinolone acetonide (TA) injection.
Methods: A retrospective descriptive study was conducted in patients with ear keloids who received keloid excision with postoperative intralesional TA injection in between June 2019 to June 2021. Age, gender, location, number of keloids, cause, characteristic, hardness, redness, elevation, symptomatic complaints such as pruritus and pain, number of postoperative intralesional TA injections, interval, follow-up period, and complications were recorded.
Results: There were 13 patients with 18 keloid lesions included in this study. All of the patients were female with average age 24.8 (18–60 years). Mean follow-up period was 14 months (6–24 months). The numbers of postoperative intralesional TA injections range from 3-6 weeks (mean 4) with interval of every 4–8 weeks. No recurrence occurred (0%). Median of Kyoto Scar Scale decreased significantly from preoperatively 7 (6–8 points) to post-treatment 1 (0–2 points). No complication was reported.
Conclusion: Excision and postoperative intralesional triamcinolone acetonide (TA) injection are effective in treatment of ear keloids. Considering local anesthesia operation and economic advantage of TA, this could be feasible as primary treatment of ear keloids in Thailand. However, to validate this treatment, there should be a randomized controlled trial with more patients and longer follow-up time in the future.
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ลิขสิทธิ์บทความเป็นของผู้เขียนบทความ แต่หากผลงานของท่านได้รับการพิจารณาตีพิมพ์ลงวารสารแพทย์เขต 4-5 จะคงไว้ซึ่งสิทธิ์ในการตีพิมพ์ครั้งแรกด้วยเหตุที่บทความจะปรากฎในวารสารที่เข้าถึงได้ จึงอนุญาตให้นำบทความในวารสารไปใช้ประโยชน์ได้ในเชิงวิชาการโดยจำเป็นต้องมีการอ้างอิงถึงชื่อวารสารอย่างถูกต้อง แต่ไม่อนุญาตให้นำไปใช้ในเชิงพาณิชย์
