Published online Dec 16, 2023. doi: 10.12998/wjcc.v11.i35.8310
Peer-review started: November 10, 2023
First decision: November 22, 2023
Revised: December 1, 2023
Accepted: December 6, 2023
Article in press: December 6, 2023
Published online: December 16, 2023
There are many available treatment options for keloid; however, single treatments are usually less effective. Therefore, more scientifically rational and effective com
To explore the efficacy and safety of surgical resection and ultra-reduced tension suture combined with superficial radiation as keloid treatment.
Fifteen keloid patients admitted to Qingdao Eighth People's Hospital from June 2020 to January 2022 were enrolled in this retrospective analysis. All patients underwent a comprehensive treatment approach comprising surgical resection, ultra-reduced tension suture incision, and superficial radiation therapy within 24 h postoperatively. The modified Vancouver Scar Scale (mVSS) and Patient and Observer Scar Assessment Scale (POSAS) were used to evaluate the treatment effect, whereas the efficacy, adverse effects, and recurrence rate were observed according to the 12-mo follow-up after treatment.
The mVSS and POSAS scores at 1 and 6 mo after combination treatment decreased compared to before treatment (P < 0.001), and the overall response rate was 93.3%. Only one case recurred, yielding a 6.7% recurrence rate. The incidence of local chromour sedimentation rate in 1–3 mo after radiotherapy was 33.3% (5 patients), all subsiding after 6–9 mo, without complications, such as delayed wound healing or dermatitis.
Surgical resection, super subtraction sutures, and superficial radiotherapy are treatment methods with short courses, low recurrence rates, and good safety profiles.
Core Tip: This study utilizes the most advanced ultra-reduced tension suture technology combined with superficial radiation therapy, known as "superficial radiation therapy," to reduce the recurrence rate of keloids. Only a few reports on this combination therapy method have been reported in China. Based on the pre-and post-treatment follow-up observations, comparison of photographs, and analysis of quantitative indicators in the scar evaluation table, this combination therapy can achieve a short treatment course, low recurrence rate, and good safety profile.