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Rong-Min Baek
Seoul National University
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135
congestion, the patient is placed in the hyperbaric oxygen chamber at 2.4 atm three times a day
for 3 to 5 days. No adjuvant therapy to prevent
keloid recurrence was necessary after surgery.
Discussion
The etiology of keloids is not yet fully known.
This is due, in part, to the lack of a reliable in
vivo experimental model, because abnormal scar
formation is a unique phenomenon that occurs in
humans. However, a variety of genetic and environmental causes have been implicated in the
pathogenesis of abnormal scars such as keloids
Patient Characteristics
Age,
Patient Sex yr
Location
Size, cm
Complication/Treatment
Result
JKL
JNL
EHK
KSH
HHL
JSP
HAP
EKO
YSL
DHC
JYK
JDH
YOC
YYA
NSC
WHH
IJK
JDH
M
F
F
F
M
M
F
F
M
M
F
M
F
F
M
M
F
M
22
40
27
38
16
17
19
25
40
19
22
23
16
33
33
13
21
24
Bilat. preauricular
Bilat. earlobes
Presternal
Bilat. earlobes
Lt. upper helical rim
Lt. retroauricle
Rt. earlobe
Lt. shoulder
Rt. retroauricle
Rt. retroauricle
Lt. upper lip
Lt. chin
Lt. scapula
Lt. earlobe
Lt. helical rim
Penile prepuce
Rt. earlobe
Rt. cheek
G
G
P
G
G
G
F
F
G
G
P
Recurrence
F
G
G
G
G
Partial recurrence
CYL
17
Lower abdomen
SOP
MYC
F
F
35
23
None
None
None
Partial flap congestion/HBO therapy
None
None
None
None
None
None
None
None
Partial flap congestion/HBO therapy
None
None
None
None
Partial flap loss/HBO therapy and
secondary healing
Partial flap loss/HBO therapy and
secondary healing
None
None
36
1 1.5
3.8 2.4
Partial recurrence
F
G
M male; F female; Bilat. bilateral; Rt. right; Lt. left; HBO hyperbarric oxygen; G no recurrence of keloid and good
aesthetic result; F no recurrence of keloid and fair aesthetic result; P no recurrence of keloid with poor aesthetic result.
Fig 1. (A, B) The subcapsular vascular plexus is identified just beneath the fibrous capsule of the keloid.
Hematoxylin eosin stain, original magnification 50 (A) and 100 (B) before 37% reduction.
Fig 2. (A) Preoperative keloid at the posterior surface of the auricle. (B) The keloid rind flap has been elevated from
the keloid core. (C) Postoperative result 5 months after core extirpation.
Fig 3. (A) A keloid at the anterior surface of the auricle. (B) Postoperative result 3 years after core extirpation.
The options include surgery, irradiation, pressure, silicon gel sheeting, laser, and pharmacological agents such as corticosteroid, vitamin A,
-amino-propionitrile, asiaticoside, zinc oxide,
138
Fig 4. (A) A keloid of the labium major after trauma. (B) Postoperative result 2 years after core extirpation.
Fig 5. (A) Keloid of the shoulder. (B) Postoperative result 6 months after core extirpation. (C) Postoperative result 12
years after core extirpation. There has been no recurrence.
References
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