Sessile and pedunculated facial keloid scar: a comparison of response to intralesional triamcinolone injection

• Published in: European journal of plastic surgery 2014-05, Vol.37 (5), p.255-258
• Main Authors: Aluko-Olokun, Bayo, Olaitan, Ademola Abayomi, Ladeinde, Akinola Ladipo
• Format: Article
• Language: English
• Subjects: Medicine; Medicine & Public Health; Original Paper; Plastic Surgery
• ISSN: 0930-343X; 1435-0130
• DOI: 10.1007/s00238-014-0931-y

Background Intralesional injection of steroid is a reported treatment method for keloids. There are no prior studies comparing the response of sessile and pedunculated keloids to triamcinolone injections. Methods Fifty-two patients who attended the Maxillofacial Unit of the National Hospital Abuja between March 2006 and February 2010 for treatment of facial keloids were the subjects of this study. They were distributed into two groups. Twenty-six people in group A had sessile keloid scars, and 26 in group B presented with pedunculated keloid scars. Fortnightly injection of 10 mg of triamcinolone per centimetre of keloid lesion was administered on both groups for a maximum of 6 months. Results Values of proportion of flattened lesions in each group were estimated. Flattening of lesion was achieved in 23 (88.46 %) cases in group A, with no such change observed in 3 (11.54 %). None (0 %) of the lesions in group B showed complete flattening after therapy. Conclusions Intralesional triamcinolone injection caused flattening of sessile keloid lesions, but does not have such effect on pedunculated lesion. Level of Evidence: Level IV, therapeutic study.