Surgical Management of Large Volume Keloids
loannis Goutos, MID
Queen Mary University of London
BACKGROUND Keloid scars represent a complex pathological entity with multiple approaches described in the literature for clinical management. Therapeutic considerations become even more challenging in patients with large volume lesions.
METHODS Retrospective review of a single surgeon experience treating large volume keloidal lesions in a variety of anatomical areas. Management modalities included local flaps as well as tissue expansion in combination with radiotherapy.
RESULTS Favourable outcomes were attained both in terms of recurrence as well as aesthetic outcome in all patients.
CONCLUSION Local flaps and tissue expanders represent valuable surgical modalities for the management of large volume keloidal lesions.