Abstract
Background:
In the treatment of keloid, surgery combined with radiation therapy is a very effective treatment, and the recurrence rate is relatively low. However, in some small areas with multiple keloids, direct surgical resection is difficult. If the wound tension is too large to be sutured directly after the resection of the pathological tissue, skin grafting or flap transfer is needed to close the wound and increase new wounds, and the local tension after suturing is too large, which may lead to new scars in the operative area. Therefore, we suggest that small keloid lesions, especially those with sloping edges, can be performed core excision.