First line t/t for keloid is-
Correct Answer: Intralesional injection of steroid
Description: Intralesional injection of steroid (Triamcinolone acetate) is now recommended as the first line of t/t for keloids
Intralesional injection of Triamcinolone is also the t/t of choice for intractable hypertrophic scars. Success is enhanced when it is combined with surgical excision
Other modalities of t/t used for keloids are:
a) Surgery
surgical excision alone leads to a high recurrance rate.
there are fewer recurrances when surgical excision is combined with other modalities such as intralesional corticosteroid injection, topical application of silicone sheets or the use of radiation or pressure.
surgery is recommended for debulking large lesions.
b) Radiation therapy
it may produce unpredictable results and has obvious potential side effects including neoplastic degeneration; and has high recurrance rate when used alone.
Silicone sheet application
Pressure application
Topical retinoids
Category:
Surgery
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