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ISSN 2992-8559 (Electronic)
ISSN 1405-0625 (Print)

2019, Number 2

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Cir Plast 2019; 29 (2)

Recurrence with combined treatment (intralesional infiltration with betamethasone, surgical resection and radiotherapy) in keloid scars in the atrial pavilion

Gutiérrez‑Gómez C, Bañuelos‑Mancilla J, Del Hierro‑Gutiérrez CE, Valdez‑Díaz B

Language: Spanish
References: 17
Page: 210-213
PDF size: 215.50 Kb.


ABSTRACT

Keloid scarring is a difficult-to-handle clinical problem in which a combined treatment can decrease its recurrence until it reaches 4 to 27%. The objective of this study was to identify recurrence with the combined treatment of intralesional infiltration of betamethasone, surgical resection and radiotherapy in the treatment of keloid scars in the atrial pavilion. The study design was observational descriptive, cross-sectional and retrospective. We analyzed the clinical records of patients from the «Dr. Manuel Gea González» General Hospital who presented keloid scars in the atrial pavilion and received combined treatment within a period of five years. Twenty-one patients met the criteria to be included in the study; 81.3% were between 16 and 30 years old. They received three to six radiotherapy sessions, with an average of four. In 80.9% they were in the lobe and recurrence was reported in 9.5%. The follow-up of the patients was 12 to 60 months. In 2012 we reported a study protocol for the handling of keloid scars in the atrial pavilion in 51 patients with a recurrence of 12.5% ​​with the use of betamethasone infiltration, surgical resection and colchicine. We conclude that the combined treatment presents a recurrence of 9.5% in our study population and the number of cases was a limitation.


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