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The Management of Keloids: Hands-On Versus Hands-Off

James Studdiford, Amber Stonehouse, Marc Altshuler and Elliot Rinzler
The Journal of the American Board of Family Medicine March 2008, 21 (2) 149-152; DOI: https://doi.org/10.3122/jabfm.2008.02.070011

Article Figures & Data

Figures

  • Figure 1.
    Figure 1.

    Large bulky keloid formation along the jawline encompassing the ear and extending to the occiput. Seen here after attempted surgical excision with postoperative radiation therapy.

  • Figure 2.
    Figure 2.

    Multiple keloids along the occiput and posterior skull as a result of trauma incurred while wearing a football helmet worn during competitions.

  • Figure 3.
    Figure 3.

    Familial inheritance pattern of keloids.

Tables

  • Table 1.

    Keloid Prevention and Treatment Strategies

    Prevention strategies for use in people predisposed to keloid formation

    1. Pressure garment consisting of elasticized material over wounds.

    2. Moist healing by use of dressing impregnated with ointment.

    3. Semi-occlusive dressings for minor abrasions.

    4. Splinting after surgical closure of an open wound to avoid excessive tension on the skin.

    5. Injection of triamciniolone acetonide.

    6. Silicon gel dressing for 3 months.

    Treatment options for patients with keloids*

    1. Intralesional steroid injection

    2. Surgical excision

      1. Scalpel excision

      2. Laser excision

      3. Electro excision

    3. Cryosurgery

    4. 5-flurouracil injection

    5. Bleomycin injection

    6. Interferon α-2b injection

    • * Combination therapy, with one or more of the above treatments, may have greater success rates.

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