Facial Keloids: A 15-Year Experience

Lindsey, William H.; Davis, Paul T.

doi:10.1001/archotol.1997.01900040031005

Cited by 45 publications

(31 citation statements)

References 7 publications

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“…It has a predilection for anterior chest especially presternal area, shoulders, upper arm, upper back, back of the neck and earlobes [2,11]. Individuals of all ethnic backgrounds can form keloid scars but it is 15 times more prevalent in black population than in white [2,3]. It is also more common in teenager during puberty and women during pregnancy [3].…”

Section: Discussionmentioning

confidence: 99%

“…Individuals of all ethnic backgrounds can form keloid scars but it is 15 times more prevalent in black population than in white [2,3]. It is also more common in teenager during puberty and women during pregnancy [3].…”

Section: Discussionmentioning

confidence: 99%

“…To our knowledge, there has not been any case of keloid scar described over the preauricular region in the literature. Other than his age as teenager in which keloid scar is known to affect, he had no known risk factor for keloid scarring [3]. His diagnosis was, therefore, challenging because of the unsuspected anatomical site involved and the absence of history of skin injury or family history of keloid scarring.…”

Section: Discussionmentioning

confidence: 99%

“…The term keloid was originally described in 1800s as "cheloid", derived from the Greek word "chele" meaning "crab claw" because of its lateral extensions resembling the legs of a crab growing into normal tissue [2,3]. This invasion of surrounding dermis extension has become the pathognomonic feature of a keloid scar [4].…”

Section: Introductionmentioning

confidence: 99%

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Challenging Diagnosis of a Rare Case of Spontaneous Keloid Scar

Tiong

2014

J Med Cases

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Keloid scars are benign dermal collagenous lesions that arise in the reticular layer of the dermis as a result of a period of prolonged wound healing due to injurious cutaneous insult. It is diagnosed clinically by a history of injury preceding its appearance and its pathognomonic encroachment beyond the boundary of the original wound. There are multiple factors that predispose an individual to keloid scar formation but no single hypothesis sufficiently explained its complex pathogenesis. The spontaneity of keloid scar to arise de novo without prior cutaneous injury is very rare. Although the non-specific appearance of spontaneous keloid scar can resemble various malignant or benign tumors, it is of paramount importance to accurately diagnose it due to the difficulty and complexity of keloid scar treatment or the atrocious outcome of its mismanagement. Here, we presented a rare case of spontaneous keloid scar over an unusual site of occurrence, and its disfiguring consequences as a result of misdiagnosis and treatment. We also highlighted the diagnostic challenge facing many clinicians when spontaneous keloid scar occurred in an individual without significant predisposing factors. Therefore, extra vigilance should be exercised in our practice and the spontaneity origin of keloid scar should be borne in one's mind.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Challenging Diagnosis of a Rare Case of Spontaneous Keloid Scar

Tiong

2014

J Med Cases

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“…The quality of a scar is evaluated by rating its color, width, depth, location, and orientation. 9 Ideally the color of a scar should closely match that of the surrounding tissue. For optimal aesthetic outcome, the scar should be narrow, flat, and positioned between skin folds or wrinkles.…”

Section: Issn: 2320-5407mentioning

confidence: 99%

Efficacy of Various Scar Revision Techniques in Maxillofacial Region- A Prospective Double-Blind Study.

Sethi¹,

Kumar²,

Gour³

et al. 2017

IJAR

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Correction of the Soft Tissue Pollybeak Using Triamcinolone Injection

Hanasono

Kridel

Pastorek

et al. 2002

Archives of Facial Plastic Surgery

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To describe the technique for correction of the soft tissue pollybeak deformity using intralesional injection of triamcinolone acetonide. Methods: We discuss our philosophy, regimen, and technique for treatment of the soft tissue pollybeak using triamcinolone injection. We include results from a series of 173 patients who underwent rhinoplasty performed by one of us (N.J.P.). Results:Triamcinolone was injected at 1 week after surgery in 127 patients (73%). A second injection was performed in 92 (72%) of the 127 patients at 4 weeks after surgery. One hundred eight (85%) of the 127 patients had an acceptable result, as judged by the sur-geon, with good supratip definition. Nineteen (15%) of the 127 patients had a less than optimal result, with residual supratip fullness, as judged by the surgeon. There were no complications caused by triamcinolone injection.Conclusions: Because revision surgery is difficult and may be associated with complications, intralesional triamcinolone injection is the first-line treatment for the soft tissue pollybeak deformities caused by subdermal scarring. Should intralesional steroid injection fail to satisfactorily treat the deformity, revision rhinoplasty can subsequently be performed.

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Facial Keloids: A 15-Year Experience

Cited by 45 publications

References 7 publications

Challenging Diagnosis of a Rare Case of Spontaneous Keloid Scar

Challenging Diagnosis of a Rare Case of Spontaneous Keloid Scar

Efficacy of Various Scar Revision Techniques in Maxillofacial Region- A Prospective Double-Blind Study.

Correction of the Soft Tissue Pollybeak Using Triamcinolone Injection

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