نتائج علاج الجدرات بالاستئصال داخل حدود الجدرة مع حقن التريامسينولون في أثناء العمل الجراحي و بعده في مستشفى الأمراض الجلدية و الزهرية في جامعة دمشق

الملخص EN

Objective: The efficacy of intralesional excision was evaluated combined with perioperative intralesional triamcinolone acetonide injection for treating keloids.

Materials and Methods: From 2014 to 2015, thirty-nine keloids of thirty-three patients were treated.

Patient age ranged from 15 to 32 years (mean:23,8 years).Patients were 23 female and 10 male.

The keloids occurred after different causes.

Postoperative intralesional triamcinolone acetonide injections were given every 1 month for several months, depending on the patient's clinical progress.

Among thirty-nine keloids there were 20 localized on the ear (51.2%) and 19 on the rest of the body (48.7%).

Results: The postoperative follow-up spanned from 6 to 10 months (mean 9.4 months) After the surgery, triamcinolone acetonide intralesional injections were administered 2 to 8 times (mean: 4 times).

Of the treated keloids, twenty-four showed good results (61.5%), eleven showed fair results (28.2%) and four recurred (10.2%).

No complications from the triamcinolone acetonide intralesional injection were observed.

Conclusions: Among the various treatments for keloids, it is suggested that intralesional excision with corticosteroid intralesional injection can be used as the first-line therapy when considering its effect and economic advantage especially for earlobe keloids.