Abstract
A C K G R O U N D
The treatment of large -area keloids remains challenging. Surgical intervention can
effectively reduce keloid volume, creating favorable conditions for postoperative superficial radiotherapy. However, selecting the optimal surgical approach requires careful consideration by clinicians. Traditional direct excision with suturing or flap techniques, while reducing keloid volume, increases tension in the affected skin area-a key factor contributing to keloid formation and recurrence. Additionally, direct excision and suturing are not feasible for extensive keloids.