원저 : 귓볼 켈로이드의 수술 후 보조요법에 따른 재발률에 대한 비교 연구
분야
의약학 > 피부과학
저자
김희주 ( Hee Joo Kim ) , 정성규 ( Sung Kyu Jung ) , 이경구 ( Kyung Goo Lee ) , 김재환 ( Jae Hwan Kim ) , 김일환 ( Ii Hwan Kim )
발행기관
대한피부과학회
간행물정보
대한피부과학회지 2012년, 제50권 제9호, 768~772페이지(총5페이지)
파일형식
27728053.pdf [무료 PDF 뷰어 다운로드]
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    영문초록
    Background: Earlobe keloids are a cosmetically and symptomatically bothersome clinical problem with frequent recurrence despite various treatments including surgical excision and intralesional injection of corticosteroids. Objective: The aim of this study was to compare the results and recurrence of earlobe keloids after various postexcisional adjuvant therapies and to identify the most effective postoperation adjuvant therapy. Methods: We retrospectively evaluated 36 patients with earlobe keloids (n=71) who underwent core excision and a suprakeloidal flap using photographs. One group did not have adjuvant therapy, one group was treated with adjuvant triamcinolone intralesional injection (TRA/ILI), and another group was treated with postoperative irradiation. Results: Among treated 71 keloids, 18 lesions (25.4%) recurred; 42.9% (12/28) of the operation-only group and 19.4% (6/31) of TRA/ILI group showed recurrence. The adjuvant radiation therapy group had no recurrence. The difference in recurrence rate was statistically significant. Conclusion: Postexcisional adjuvant therapy was more effective than excision monotherapy for keloid treatment, and radiation therapy had more sustained effects than that of TRA/ILI.
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