Principle and clinical application of keloid core excision technique.
10.7507/1002-1892.202308033
- Author:
Xiaoye RAN
1
;
Yuanbo LIU
1
;
Shan ZHU
1
;
Shanshan LI
1
;
Zixiang CHEN
1
;
Tinglu HAN
1
;
Shengyang JIN
1
;
Mengqi ZHOU
1
;
Mengqing ZANG
1
Author Information
1. Scar & Wound Treatment Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100144, P. R. China.
- Publication Type:Journal Article
- Keywords:
Keloid;
core excision;
keloidal flap
- MeSH:
Humans;
Keloid/pathology*;
Recurrence;
Surgical Flaps/pathology*;
Plastic Surgery Procedures;
Treatment Outcome
- From:
Chinese Journal of Reparative and Reconstructive Surgery
2023;37(12):1569-1577
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To review the research progress of the principle and clinical application of keloid core excision technique.
METHODS:The literature on keloid core excision technique at home and abroad in recent years was extensively reviewed, and the principle, development history, indications, advantages and disadvantages of this technique were summarized, and the existing controversies were analyzed.
RESULTS:Keloid core excision is a technique to remove the inner fibrous core from the keloid and cover the defect with the keloidal flap. It reduces the wound tension, yields good aesthetic results in the treatment of ear keloids, and reduces the recurrence rate of keloids combining with adjuvant therapies.
CONCLUSION:The keloid core excision technique has specific advantages, yet its overall efficacy remains controversial. Further studies are imperative to explore the mechanisms regarding keloid recurrence and the vascular supply principles of the keloidal flap. It is also necessary to define appropriate surgical indications and safety protocols of this technique.
