▪ ABSTRACT
Introduction:
Currently, the application of intralesional triamcinolone with surgical
excision is considered the most satisfactory treatment for keloids, with a
low recurrence rate.
Method:
A case study was carried out covering reconstructive surgeries for patients
with bilateral earlobe keloids, operated by the same plastic surgeon from
July 2018 to January 2021 at the Hospital Regional de Sobradinho in
Brasília-DF. The keloid scar (intralesional) was partially resected, leaving
keloid margins in the surgical wound, and compared with the response after
total resection (juxtalesional) of another scar in the same patient.
Triamcinolone was applied preoperatively, with a total of 4 applications at
intervals of 4 weeks between each session and in the immediate postoperative
period, maintaining application every 30 days for 6 months. No patient had
undergone previous treatments for keloids. Scars were evaluated
postoperatively by the primary surgeon over a period of 12 months.
Results:
Four of 11 patients had some type of recurrence, totaling 36% of recurrence
in our study. Total excision of the keloid (left ear) had more recurrences
than the contralateral side where a 1mm margin of keloid was left in the
scar (right ear).
Conclusion:
In the present study, we observed that when associated with treatment with
triamcinolone pre-, intra-, and postoperatively, partial excision of the
keloid presented lower rates of local recurrence when compared to total
excision of the keloid.
Keywords: Keloid - Scar. Triamcinolone - Adrenal cortex hormones - Plastic Surgery Procedures
Bibliographical Record
