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Papers of The 3rd Japan Scar Workshop |
1. Postoperative Assessment of Keloids using a Simple Scale
Satoko Yamawaki, Katsuhiro Yoshikawa, Toshihiro Ishiko, Motoko Naitoh,
Shigehiko Suzuki
Department of Plastic and Reconstructive Surgery, Kyoto University
Graduate School of Medicine
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Keloids are a common disease but it is challenging to treat keloids
completely. The combination of surgical excision and postoperative
irradiation is considered the most effective therapy available but the
reported results still vary. The absence of a standard simple tool for
assessing the postoperative results seems to be one of the reasons for
the large variations. We attempted to develop our original scale to
evaluate the postoperative results by modifying the Vancouver scar
scale. Evaluation was performed based on two items; subjective symptom
and objective symptom. The subjective symptoms included pain and
itching, each item is graded in two levels. The objective symptoms
included redness, hardness and elevation, each item was graded into one
of three levels. All the grading points were added together and the
results were evaluated into four categories according to total scores:
excellent = 0, good = 1~2, fair = 3 and poor = 4~8. We have evaluated
70keloids by the scale. Sixty-one keloids showed excellent or good
results. It is possible to know whether the keloids are well controlled
or not by checking the changes of the scores during the postoperative
course. Our scale is simple, convenient and useful. |
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