Is the Treatment of Keloid Scars Still a Challenge in 2006?

F. De Lorenzi, H.J. Tielemans*, R.R.W.J. van der Hulst, R. Rhemrev, F.H.M. Nieman, L.C. Lutgens, W.D. Boeckx

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


Background: Several options are described to treat keloid scars, none of them being 100% successful. Radiotherapy is suggested to have the most significant effect on recurrence rate. Objectives: The aim of the study is to confirm the effectiveness of iridium brachytherapy combined with surgery and to evaluate patient satisfaction. Patients and Methods: We retrospectively enrolled 24 patients with 30 keloids, treated by surgical excision and iridium 192 high-dose-rate (HDR) brachytherapy. Results: We observed a significant difference in scar thickness before and after the treatment (P <0.001). With regard to patient satisfaction and complaints, 79.1% of them had no pain and irritation after treatment, 79.2% of patients would recommend this treatment to other patients, and 87.5% would undergo this treatment again if necessary. Conclusions: Our results confirm the effectiveness of surgical keloid excision followed by HDR brachytherapy in primary treatment or if other alternative methods have failed.
Original languageEnglish
Pages (from-to)186-192
JournalAnnals of Plastic Surgery
Issue number2
Publication statusPublished - 1 Jan 2007

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