Auricular Keloids: When Should We Start Corticosteroid Therapy?
Journal Title: Saudi Journal of Medicine - Year 2017, Vol 2, Issue 4
Abstract
Abstract: Auricular keloids are common skin disease among the Negro race which complicates ear piercing, trauma and post burns injury. Injection corticosteroid (triamcinolone) is a simple modality of treatment that is being used we aim at finding out the more appropriate time to start triamcinolone injection after surgery of fresh or recurrent keloids. We prospectively recruited 43 patients with 59 keloids who had new and recurrent keloids from Jan, 2014 to Dec. 2015. The patients had one to three keloids per each auricle or bilaterally. The patients were randomized into two groups, viz: group 1 were 21 patients who were injected intra-operatively while group 2 were 22 patients who were first injected on the seventh day post-surgery. We administered 10-40mg of triamcinolone into the wounds every 3weeks with a total of 3-4 doses. The follow-up period was between 6months and 2 years. Recurrence was seen in 1 (4.8%) in the intra-operative triamcinolone injected patients while the postoperatively healed wounds before commencement of injection showed 5(22.8%) recurrence rate. Cosmetic acceptance was equally better in the intra-operative commencement than in the post-operative ones.The administration of cortico-steroids therapy for the prevention of keloids in post-surgical patients should be commenced at surgery because of its reduced recurrent rate, good cosmetic appearance as well as no exposure to radiotherapy. Keywords: Auricular keloids, corticosteroid, Surgery, Patient, Therapy, Trauma
Authors and Affiliations
Ozinko M. O. , Otei O. O, Ekpo R. G, Eighekhin I. E
Keywords
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