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Aesthetic Plastic Surgery
Erschienen in:

29.03.2024 | Original Article

Smart Use of Skin Biopsy Punch in Treating Keloids: A Single-Center Retrospective Study

verfasst von: Yixin Li, Jingyi Dong, Liuhong Liu, Kai Huang, Dingheng Zhu, Wu Zhu, Shuang Zhao, Renliang He

Erschienen in: Aesthetic Plastic Surgery | Ausgabe 15/2024

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Abstract

Background

Treatment of scarring has long been a problem due to high incidence and recurrence. Despite many existing treatment therapies, the efficacy remains unstable.

Objectives

To determine the efficacy and safety of skin biopsy punch in combination with corticosteroid injection (BPCI) in treating keloids.

Approach

This was a retrospective study. In total, 16 patients with keloids received BPCI. Changes in scar appearance, accompanied symptoms, and Vancouver Scar Scale (VSS) were analyzed. Patient satisfaction, VAS scores, and adverse effects were also evaluated.

Results

Scar appearance, accompanied symptoms, and VSS scores improved significantly after the treatment. The total effective rate was 93.75% at an 18-month follow-up on average. The mean reduction rate of VSS score was 58.44% (p < 0.0001), especially in height and pliability (84.44% and 78.19%, p < 0.0001). The recurrence rate in this study was 12.5% (n = 2) at an 18-month follow-up on average. Mild adverse effects of pain, pruritus, hypopigmentation, and telangiectasia were recorded.

Conclusions

This study demonstrated BPCI might be an effective and safe therapy in keloids with a low long-time recurrence rate and well tolerance for patients.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these evidence-based medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.​springer.​com/​00266.
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Metadaten
Titel
Smart Use of Skin Biopsy Punch in Treating Keloids: A Single-Center Retrospective Study
verfasst von
Yixin Li
Jingyi Dong
Liuhong Liu
Kai Huang
Dingheng Zhu
Wu Zhu
Shuang Zhao
Renliang He
Publikationsdatum
29.03.2024
Verlag
Springer US
Erschienen in
Aesthetic Plastic Surgery / Ausgabe 15/2024
Print ISSN: 0364-216X
Elektronische ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-024-04000-6

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