2014, Number 1-3
<< Back Next >>
Med Cutan Iber Lat Am 2014; 42 (1-3)
Combined treatment of relapsing keloids using the «fillet flap» technique and corticosteroid infiltration
Cóndor SN, Barzallo JF
Language: Spanish
References: 22
Page: 37-41
PDF size: 328.35 Kb.
ABSTRACT
Keloids are predominantly recurrent fibrous tumors, sometime presenting itching, that grows spontaneously or on site of injuries. Usually appear between 10 to 30 years old. The interscapular, presternal region, shoulders, mandibular edges, pinna, and earlobe are the most likely sites of presentation. The etiology remains unknown, but the accumulation of fibrous tissue is associated with increased metabolic activity of fibroblasts and subsequent collagen synthesis and glycosaminoglycans. Many treatments have been tried, but variable success was obtained with single or combined treatments. We present a case report of some cases of relapsing keloids treated with the «fillet flap» technique followed by the intralesional administration of triamcinolone.
REFERENCES
Mosquera P, Rial F. Cicatrices hipertróficas e queloides. Cad Aten Primaria. 2010; 17: 282-283.
Bisbal J, Guix B, Coronel R. Tratamiento combinado de los queloides mediante cirugía y braquiterapia. Cir Plast Iberolatinoam. 2009; 35: 283-290.
Cintrón G, Poveda J. La cicatrización queloide. Acta Med Costarric. 2008; 50: 87-93.
Baker R, Urso F, Linge C, Grobbelaar A. Cutaneous Scarring: A Clinical Review. Dermatol Res Pract. 2009; 7: 1-7.
Juckett G, Hartman H. Management of keloids and hypertrophic scars. Am Fam Physician. 2009; 80: 253-260.
Alcalá D, Llergo R. Cicatrices hipertróficas y queloides. Rev Cent Dermatol Pascua. 2006; 5: 31-34.
Cuenca J, Hernández B, Álvarez C, Luján F, Escalona A. Tratamiento quirúrgico de cicatrices queloides en oreja. Cir Plast. 2006; 16: 78-83.
Andrades P, Benítez S, Prado A. Recomendaciones para el manejo de cicatrices hipertróficas y queloides. Rev Chilena Cir. 2006; 58: 7888.
Zhang YG, Cen Y, Liu XX, Yu R, Xu XW. Clinical improvement in the therapy of aural keloids. Chin Med J. 2009; 122: 2865-2868.
Murray JC, Pollack SV, Pinnell SR. Keloids: a review. J Am Acad Dermatol. 1981; 4: 461-470.
Jin Young Jung, Mi Ryung Roh, Yeon Sook Kwon, Kee Yang Chung. Surgery and perioperative intralesional corticosteroid injection for treating earlobe keloids: A Korean experience. Ann Dermatol. 2009; 21: 221-225.
Valerón L, Dehesa J, Vilar J, Domínguez J, Gómez D. Tratamiento quirúrgico del queloide recidivante de pabellón auricular mediante “colgajo en filete”. Actas Dermosifiliogr. 2010; 101: 235-241.
Lawrence WT. In search of the optimal treatment of keloids: report of a series and a review of the literature. Ann Plast Surg. 1991; 27: 164-178.
Leventhal D, Furr M, Reiter D. Treatment of keloids and hypertrophic scars: a meta-analysis and review of the literature. Arch Facial Plast Surg. 2006; 8: 362-368.
Aköz T, Gideroğlu K, Akan M. Combination of different techniques for the treatment of earlobe keloids. Aesthetic Plast Surg. 2002; 26: 184-188.
Kim DY, Kim ES, Eo SR, Kim KS, Lee SY, Cho BH. A surgical approach for earlobe keloid: keloid fillet flap. Plast Reconstr Surg. 2004; 113: 1668-1674.
Halen JP, Yu P, Skoracki RJ, Chang DW. Reconstruction of massive oncologic defects using free fillet flaps. Plast Reconstr Surg. 2010; 125: 913-922.
Scott Levin, Detlev Erdmann, Günter Germann. The use of fillet flaps in upper extremity reconstruction. Journal of the American Society for Surgery of the Hand. 2002; 2: 39-44.
Kalbermatten DF, Kalbermatten NT, Haug M, Schäfer D, Pierer G. Use of a combined pedicled toe fillet flap. Scan J Plastic Reconstr Surg Hand Surg. 2004; 38: 301-315.
Peña D, Peña J, Martínez A, Sánchez R. Fileteado de dedos del pie. Casos clínicos. Peu. 2006; 26: 134-138.
Küntscher MV, Erdmann D, Homann HH, Steinau HU, Levin SL, Germann G. The concept of fillet flaps: classification, indications, and analysis of their clinical value. Plast Reconstr Surg. 2001; 108: 885-896.
Ortiz I. Mesoterapia y otras técnicas inyectivas en el tratamiento de la celulitis. Comunicación presentada en el VI Encuentro Internacional de Medicina Estética y Antienvejecimiento. 2000, Madrid. España.