Combined Treatment of Keloids or Hypertrophic Scars

Treating of established keloids or hypertrophic scars is difficult, several methods for skeloids treatment have been reported; intralesional steroid injection, application of silastic gel sheet, pressure garment and surgical excision. Three or four combined methods of them produced better results than single method. An attempt was made to assess the value of 2 categories of combined treatment, the category 1 was intralesional steroid injection in combination with pressure garment & silastic gel sheet in treating 43 keloids or hypertrophic scars, the category 2 was surgry in combination with nonsurgical treatments in treating 7 patients. Nonsurgical combined treatment(category 1)was found be effective in the eradication of symptoms(91% symtomatic relief), the texture change(93% success rate) and the height change(56% partial flatteneing & 37% full flattening). Surgery in combination with nonsurgical treatments(category 2) is also recommended as treatment for complicated recurrent keloids. However more cases and longer follow-up are necessary.