지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한미용성형외과학회 Archives of Aesthetic Plastic Surgery Archives of Aesthetic Plastic Surgery Vol.29 No.1
- 발행연도
- 2023.1
- 수록면
- 8 - 13 (6page)
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초록· 키워드
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Background Keloid treatment is challenging because of the high likelihood of recur rence and a lack of definitive treatment combinations. The treatment of bulky and re current keloids is particularly difficult. We investigated the administration of extrale sional cryotherapy (EL) in conjunction with intralesional (IL) triamcinolone (TA) injec tions as adjuvant therapy after surgical excision for the management of keloids.
Methods Among all patients who visited our scar laser center between January 2016 and August 2017, 54 patients who underwent IL keloid excision with EL cryotherapy and IL TA injection as adjuvant therapy were included in this retrospective study. We examined sex, site, the number of cryotherapy sessions and TA injections, symptoms after surgery, and recurrence. The Vancouver Scar Scale (VSS) was used as to quantify treatment outcomes.
Results Among 54 cases of IL keloid excision, after an average of 6.26 cryotherapy ses sions and IL TA injections as combined adjuvant treatment, the lesion was controlled without recurrence in 49 cases. Relapse occurred in five patients, requiring additional treatment and reoperation. For 49 patients with photographic data, the average VSS score before and after treatment improved from 10.1 to 5.0. In 17 patients in whom symptoms recurred after surgery, all symptoms were controlled and maintained with adjuvant therapy.
Conclusions Initial direct surgical excision, followed by a combination of EL cryotherapy and IL TA injections, was shown to be effective in challenging cases of large and recur ring keloids
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