Treatment of keloids: a literature review

Introduction: Keloids are characterized by an abnormal response to dermal trauma, resulting in fibroblast proliferation, excessive collagen production, and impairment of adjacent healthy tissue. The diagnosis is clinical, and many conservative and surgical methods can be used as treatments. However,...

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Main Authors: Pedro Martins Corrêa, Camila Eugênia Fonseca Passos, Eduardo Mesquita de Souza, Guilherme Augusto Sousa Batista, Jéssica De Oliveira Jacintho, Luiza Barbosa de Oliveira, Oscar Campos Lisboa, Joyce de Sousa Fiorini Lima
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2019-09-01
Series:Revista Brasileira de Cirurgia Plástica
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Online Access:http://www.rbcp.org.br/export-pdf/2656/en_v34n3a14.pdf
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author Pedro Martins Corrêa
Camila Eugênia Fonseca Passos
Eduardo Mesquita de Souza
Guilherme Augusto Sousa Batista
Jéssica De Oliveira Jacintho
Luiza Barbosa de Oliveira
Oscar Campos Lisboa
Joyce de Sousa Fiorini Lima
author_facet Pedro Martins Corrêa
Camila Eugênia Fonseca Passos
Eduardo Mesquita de Souza
Guilherme Augusto Sousa Batista
Jéssica De Oliveira Jacintho
Luiza Barbosa de Oliveira
Oscar Campos Lisboa
Joyce de Sousa Fiorini Lima
author_sort Pedro Martins Corrêa
collection DOAJ
description Introduction: Keloids are characterized by an abnormal response to dermal trauma, resulting in fibroblast proliferation, excessive collagen production, and impairment of adjacent healthy tissue. The diagnosis is clinical, and many conservative and surgical methods can be used as treatments. However, data on the efficacy of these treatments are limited, and there is no consensus regarding the best treatment option. This gap needs to be filled by developing comprehensive evidence-based therapies. Methods: A non-systematic literature review of keloid scars was carried out using PubMed, Scielo, MEDLINE, UptoDate, and dermatology and dermatological surgery textbooks. Literature review: The search retrieved relevant information on surgical and adjuvant therapies used for keloids, including excision, intralesional injections, cryotherapy, laser therapy, silicone gel sheeting, radiation therapy, and pressure therapy. These data are crucial because, in addition to complaints of pain, itching, and restriction of movement, the main reason for seeking treatment for keloids is for cosmetic and aesthetic improvement, and the rates of recurrence and treatment failure are high, emphasizing the importance of creating awareness regarding the available procedures and their effectiveness. Conclusion: Many surgical and adjuvant therapies for keloids are available. Nonetheless, there is no consensus on a universally accepted treatment. Therefore, additional high-quality studies are needed to identify the most effective therapeutic approaches to achieve better results.
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spelling doaj-art-e62ec307bed549a79bb7beeab18fdb992025-08-20T03:38:44ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352019-09-01340339139810.5935/2177-1235.2019RBCP0213Treatment of keloids: a literature reviewPedro Martins Corrêa0Camila Eugênia Fonseca Passos1Eduardo Mesquita de Souza2Guilherme Augusto Sousa Batista3Jéssica De Oliveira Jacintho4Luiza Barbosa de Oliveira5Oscar Campos Lisboa6Joyce de Sousa Fiorini Lima7Universidade Federal de Ouro Preto, Escola de Medicina, Ouro Preto, MG, BrazilUniversidade Federal de Ouro Preto, Escola de Medicina, Ouro Preto, MG, BrazilUniversidade Federal de Ouro Preto, Escola de Medicina, Ouro Preto, MG, BrazilUniversidade Federal de Ouro Preto, Escola de Medicina, Ouro Preto, MG, BrazilUniversidade Federal de Ouro Preto, Escola de Medicina, Ouro Preto, MG, BrazilUniversidade Federal de Ouro Preto, Escola de Medicina, Ouro Preto, MG, BrazilUniversidade Federal de Ouro Preto, Escola de Medicina, Ouro Preto, MG, BrazilUniversidade Federal de Ouro Preto, Escola de Medicina, Ouro Preto, MG, BrazilIntroduction: Keloids are characterized by an abnormal response to dermal trauma, resulting in fibroblast proliferation, excessive collagen production, and impairment of adjacent healthy tissue. The diagnosis is clinical, and many conservative and surgical methods can be used as treatments. However, data on the efficacy of these treatments are limited, and there is no consensus regarding the best treatment option. This gap needs to be filled by developing comprehensive evidence-based therapies. Methods: A non-systematic literature review of keloid scars was carried out using PubMed, Scielo, MEDLINE, UptoDate, and dermatology and dermatological surgery textbooks. Literature review: The search retrieved relevant information on surgical and adjuvant therapies used for keloids, including excision, intralesional injections, cryotherapy, laser therapy, silicone gel sheeting, radiation therapy, and pressure therapy. These data are crucial because, in addition to complaints of pain, itching, and restriction of movement, the main reason for seeking treatment for keloids is for cosmetic and aesthetic improvement, and the rates of recurrence and treatment failure are high, emphasizing the importance of creating awareness regarding the available procedures and their effectiveness. Conclusion: Many surgical and adjuvant therapies for keloids are available. Nonetheless, there is no consensus on a universally accepted treatment. Therefore, additional high-quality studies are needed to identify the most effective therapeutic approaches to achieve better results.http://www.rbcp.org.br/export-pdf/2656/en_v34n3a14.pdfkeloidplastic surgeryscartherapyrelapse
spellingShingle Pedro Martins Corrêa
Camila Eugênia Fonseca Passos
Eduardo Mesquita de Souza
Guilherme Augusto Sousa Batista
Jéssica De Oliveira Jacintho
Luiza Barbosa de Oliveira
Oscar Campos Lisboa
Joyce de Sousa Fiorini Lima
Treatment of keloids: a literature review
Revista Brasileira de Cirurgia Plástica
keloid
plastic surgery
scar
therapy
relapse
title Treatment of keloids: a literature review
title_full Treatment of keloids: a literature review
title_fullStr Treatment of keloids: a literature review
title_full_unstemmed Treatment of keloids: a literature review
title_short Treatment of keloids: a literature review
title_sort treatment of keloids a literature review
topic keloid
plastic surgery
scar
therapy
relapse
url http://www.rbcp.org.br/export-pdf/2656/en_v34n3a14.pdf
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AT jessicadeoliveirajacintho treatmentofkeloidsaliteraturereview
AT luizabarbosadeoliveira treatmentofkeloidsaliteraturereview
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