Keywords : Keloid
COMBINED SURGICAL EXCISION WITH LOCAL INFILTRATION OF VERAPAMIL FOR THE TREATMENT OF KELOID; A CLINICAL STUDY
Basrah Journal of Surgery,
2019, Volume 25, Issue 1, Pages 48-55
Jabir Raheem Hameed* and Ahmed Mohammed kohil@ *MB, ChB, FICMS, Consultant Plastic and Reconstructive Surgeon, Al-Sadr Teaching Hospital, Basrah. @MB, ChB, Candidate of CABMS Plastic and Reconstructive Surgery, Al-Sadr Teaching Hospital, Basrah, IRAQ. Abstract Keloid scar is one of the most challenging problems for physicians and surgeons. The current treatment of keloids is based on many ways and modalities which includes medical therapy, combined surgical excision with other modalities, physical treatment etc. The optimal curative treatment remains undefined. This study aimed to evaluate the effectiveness of the surgical excision combined with local infiltration of verapamil to treat patients with keloid. This prospective study involved 20 patients with keloid scars at different parts of the body. These keloid scars were surgically excised with local infiltration of Verapamil. This study was carried out at Al-Shaheed Ghazii Al-Harriri Hospital, Al-Wasity Hospital in Baghdad and Al-Sadr Teaching Hospital in Basrah Between January 2017 and May 2018. The age of the patients ranged between 11 to 44 years. Fourteen of them were females and 6 were males. After one year follow-up period, 11 patients had good results, 5 patients had moderate results and 4 patients had poor results. Patient’s satisfaction in those who had good results was excellent. No serious complications were recorded, only one patient got local wound dehiscence. In conclusion, surgical excision of keloid scar combined with post-surgical verapamil infiltration showed promising results in the management of keloid scar and reduction of its recurrence rate.
Basrah Journal of Surgery,
2009, Volume 15, Issue 2, Pages 93-96
Tendency to heal with an abnormal
The external ear is most prone to
unfavorable wound responses such as
keloids8. Earlobe keloids are common
response to ear piercing, especially in
females and darker skin individuals9.
Keloids on the ears present several
therapeutic challenges. They are
common after small skin excisions and
other procedures, including drainage of
auricular hematomas, repair of other
auricular traumas or as secondary
keloid formation after prior keloid
excision. Several treatment modalities
are used for keloid such as surgery
alone or surgery combined with other
measures with varying success rates.
Today there is no agreement about
which treatment modality will
significantly solve the problem10.
This paper report a case of a large
bilateral post burn ear keloid on the
helical rim which was successfully
treated with surgery and intra-lesional
injection of 5FU and Triamcinolon.