Surgical excision and skin grafting combined with intralesional injection of triamcinolone for the treatment of keloids after syndactyly release

Abstract

The purpose of this study was to investigate the efficacy of surgery combined with triamcinolone acetonide injection in managing the difficult problem of keloid formation after syndactyly release. Twenty-two patients with keloid formation after syndactyly release were retrospectively reviewed. They were divided into a simple surgery group and a surgery plus injection group. Complications, web quality, scar score and satisfaction were assessed and compared. In the surgery plus injection group, three patients (3/13) experienced recurrence and ten webs were good, whereas in the simple surgery group, seven patients (7/9) experienced recurrence and five webs were poor. The mean Vancouver Scar Scale score was significantly lower (4.3 versus 7.8) and the mean Faces Questionnaire satisfaction score was higher (4.2 versus 2.6) in the surgery plus injection group. Combining surgical excision with early and repeated intralesional injection can achieve better results with low recurrence rate and side effects. Level of evidence: IV

An approach to achieve tension-free closure and mitigate recurrence in the management of recurrent cervical keloids

“…In a subsequent visit, she underwent surgical resection of a sizable keloid scar, measuring 20 by 8 cm. The defect was reconstructed using a full-thickness skin graft (FTSG) harvested from her left lower abdomen [ 16 , 17 ]. To mitigate the risk of keloid recurrence, immediate postoperative radiation therapy was administered starting on the day of the operation and continuing for three consecutive days [ 11 ].…”