What question did this study set out to answer?

This research aims to explore effective treatment methods for managing keloids and reducing recurrence rates.

July 14, 2026Open Access

Beyond the Scalpel: Innovating Keloid Treatment with Multidisciplinary Precision

SVSri Valli VemulapalliAmrita Institute of Medical Sciences and Research Centre SVSri Valli VemulapalliAmrita Institute of Medical Sciences and Research Centre

Key Points

This research aims to explore effective treatment methods for managing keloids and reducing recurrence rates.
Treatment includes preoperative intralesional triamcinolone injections, mechanical compression, surgical excision, and postoperative radiotherapy (16 Gy).
Follow-up at 18 months ensures assessment of recurrence and patient satisfaction.
A multidisciplinary approach was employed, integrating various therapeutic strategies.
No clinical recurrence of keloids was observed at 18 months.
Vancouver Scar Scale score improved to 1, indicating significant scar reduction.
Patient reported excellent cosmetic satisfaction with pain-free healing.

Abstract

Keloids are challenging fibroproliferative scars with high recurrence rates following monotherapy. We report the successful management of bilateral ear lobule keloids in a 50-year-old woman using a multidisciplinary treatment protocol incorporating preoperative intralesional triamcinolone injections and mechanical compression, surgical excision with acellular dermal matrix reconstruction, postoperative radiotherapy (16 Gy), and long-term silicone compression therapy. At 18 months of follow-up, there was no clinical recurrence, the Vancouver Scar Scale score was 1, and the patient reported excellent cosmetic satisfaction with pain-free healing. This case highlights the value of combining mechanical, biological, surgical, and radiotherapeutic strategies to reduce recurrence and emphasizes the importance of interdisciplinary collaboration in keloid management.

AIに質問

Bookmark

View Full Paper