1:Department of Plastic and Reconsrtructive Surgery, Nippon Medical
school Musashikosugi Hospital, Kawasaki, Japan
2:Department of Plastic and Reconstructive Surgery, Nippon Medical
School, Tokyo, Japan
When a keloid recurs after surgical therapy alone, treatment tends to
become difficult, and postoperative care to prevent a recurrence is
important. We treated recurrent keloids after surgical therapy alone
(17% of all keloids) and analyzed the outcomes. Most were abdominal
postoperative recurrent keloids, and all enlarged in the direction of
the pubic region. The keloid which reached pubic region in that was
particularly refractory. Postoperative electron-beam irradiation therapy
was effective in postoperative recurrent keloids of the ear lobe, but
also caused defects in some cases. It is important to attempt to treat
keloids in a single operation and perform postoperative care to prevent
a recurrence.
