Effect of the surgical treatment on the keloid of mons pubis with postoperative radiotherapy

VernacularTitle:局部皮瓣与邻位皮瓣修复术后放射治疗阴阜瘢痕疙瘩的效果比较
Author: Kexin SONG ; Youbin WANG ; Mingzi ZHANG ; Quancang MEN ; Zhifei LIU ; Xiaojun WANG
Publication Type:Journal Article
Keywords: Flap; Flap graft; Keloid; Mons pubis; Radiotherapy
From: Chinese Journal of Medical Aesthetics and Cosmetology 2016;22(3):169-171
CountryChina
Language:Chinese
Abstract: Objective To explore an effective surgical treatment to the keloid of mons pubis.Methods From March 2008 to January 2015,local flap and adjacent flap (including ilioinguinal flap and rectus abdominal musculocutaneous flap) were performed,and used to repair the defect after surgical removal of the keloid in 25 patients,and all the patients were received postoperative local radiotherapy,and then chi square test was applied to evaluate the effect in the six aspects,including perineal form,skin color,pubic hair distribution,satisfactory effect,skin texture and sense.Results The local flap group was better than the adjacent flap group in perineal form,skin color,pubic hair distribution,satisfactory effect,but there was no significant difference in skin texture and sense.Conclusions For the keloid of mons pubis,the first choice is local flap graft,which can maintain the normal mons pubis formation as most as possible,while the wound is so large that the local flap cannot work,and therefore the vascular pedicle axial flap should be used.