Acta Scientific Otolaryngology (ASOL) (ISSN: 2582-5550)

Case Report Volume 7 Issue 3

Treatment of Recurrent Keloid by Surgical Excision followed by High Dose Rate Plesiotherapy: A Case Report and Review of Literature

Tamoghna Jana1, Ashwini Baghel1 and Samyadipta Dey2*

1Fellow, Department of Head and Neck Surgical Oncology, Cancer Hospital and Research Institute, Gwalior, India
2Specialist Grade 2, Department of Head and Neck Surgical Oncology, Chittaranjan National Cancer Institute, Kolkata, India

*Corresponding Author:Samyadipta Dey, Specialist Grade 2, Department of Head and Neck Surgical Oncology, Chittaranjan National Cancer Institute, Kolkata, India.

Received: February 04, 2025; Published: February 25, 2025

Abstract

The term Keloid has been derived from the Greek Language translating to “crabs claw.” The condition occurs as a postoperative complication or as a sequela of trauma, which is sometimes worrisome to both the patient as well as the treating surgeon because of its recurrent behaviour. Keloids are a type of scar that can occur after surgery or trauma, and they are characterized by their raised and thick appearance. Patients with keloids may experience physical symptoms such as pain and itching, which can be distressing and affect their quality of life. In addition to these physical symptoms, keloids can also be aesthetically displeasing, causing patients to feel self-conscious or embarrassed about their appearance. The emotional impact of keloids should not be underestimated, as it can have an impact on a patient's mental health and well-being. It is important for healthcare providers to recognize the impact of keloids on patients and to provide appropriate support and treatment options. Generally, keloids have been treated solely through surgery, but due to their high rate and chance of recurrence (45-90%) [1], adjuvant therapy after surgery has been added to aim for reducing the chance of recurrence to a minimum. Among them Surgery followed by low dose Radiotherapy has shown the best results.

Keywords: Keloid; Radiotherapy; Histopathological Examination (HPE)

References

  1. Kim K., et al. “Radiation Therapy Following Total Keloidectomy: A Retrospective Study over 11 Years”. Archives of Plastic Surgery5 (2015): 588-595.
  2. Xu J., et al. “Radiation Therapy in Keloids Treatment: History, Strategy, Effectiveness, and Complication”. Chinese Medical Journal (Engl).14 (2017): 1715-1721.
  3. Cheraghi N., et al. “RADIATION THERAPY for the Adjunctive Treatment of Surgically Excised Keloids: A Review”. The Journal Of Clinical And Aesthetic Dermatology 8 (2017): 12-15.
  4. Zainib M and Amin NP. “Radiation Therapy in the Treatment of Keloids”. 2023 Jul 31. In: StatPearls. Treasure Island (FL): StatPearls Publishing (2023).
  5. Jones ME., et al. “Keloid Management: A Retrospective Case Review on a New Approach Using Surgical Excision, Platelet-Rich Plasma, and In-office Superficial Photon X-ray Radiation Therapy”. Advances in Skin Wound Care7 (2016): 303-307.
  6. Berman B and Bieley HC. “Adjunct therapies to surgical management of keloids”. Dermatology Surgery2 (1996): 126-130.
  7. Stahl S., et al. “Treatment of earlobe keloids by extralesional excision combined with preoperative and postoperative "sandwich" radiotherapy”. Plastic and Reconstructive Surgery1 (2010): 135-141.
  8. Botwood N., et al. “The risks of treating keloids with radiotherapy”. British Journal of Radiology864 (1999): 1222-1224.
  9. Kovalic JJ and Perez CA. “Radiation therapy following keloidectomy: a 20-year experience”. International Journal of Radiation Oncology, Biology, Physics 1 (1989): 77-80.
  10. Ogawa R., et al. “Postoperative radiation protocol for keloids and hypertrophic scars: statistical analysis of 370 sites followed for over 18 months”. Annals of Plastic Surgery6 (2007): 688-691.
  11. Ogawa R., et al. “Is radiation therapy for keloids acceptable? The risk of radiation-induced carcinogenesis”. Plastic and Reconstructive Surgery4 (2009): 1196-1201.
  12. Sakamoto T., et al. “Dose-response relationship and dose optimization in radiotherapy of postoperative keloids”. Radiotherapy Oncology2 (2009): 271-276.
  13. BIEMANS RG. “A RARE CASE OF SARCOMATOUS DEGENERATION OF A CHELOID”. Archivum Chirurgicum Neerlandicum 15 (1963): 175-185.

Citation

Citation: Samyadipta Dey., et al. “Treatment of Recurrent Keloid by Surgical Excision followed by High Dose Rate Plesiotherapy: A Case Report and Review of Literature"Acta Scientific Otolaryngology 7.3 (2025): 39-47.

Copyright

Copyright: © 2025 Samyadipta Dey., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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