[Keloid scars (part II): Treatment and prevention]

Ann Chir Plast Esthet. 2017 Feb;62(1):87-96. doi: 10.1016/j.anplas.2016.04.006. Epub 2016 May 18.
[Article in French]

Abstract

Keloids scars are a dysregulated response to cutaneous wound healing and can be associated with substantial physical and psychological distress. Unfortunately, they occur when surgical excision is performed. While the pathogenesis of keloids continues to be investigated, numerous treatment options exist. But there is still no ideal treatment. Their management needs association of treatment and long-term follow-up to observe and manage recurrence. In this second part, we propose a strategy for management of keloids scars.

Keywords: 5FU; Chéloïde; Cicatrice; Compression; Corticotherapy; Corticothérapie; Cryotherapy; Cryothérapie; Exérèse intracicatricielle; Keloid; Pressotherapy; Pressothérapie; Scar; Silicon; Silicone.

MeSH terms

  • Bleomycin / administration & dosage*
  • Cicatrix, Hypertrophic / pathology
  • Cicatrix, Hypertrophic / prevention & control
  • Cicatrix, Hypertrophic / therapy*
  • Dermatologic Agents / administration & dosage*
  • Glucocorticoids / administration & dosage*
  • Humans
  • Injections, Intralesional / methods
  • Interferons / administration & dosage*
  • Keloid / etiology
  • Keloid / pathology
  • Keloid / prevention & control
  • Keloid / therapy*
  • Radiotherapy / methods
  • Recurrence
  • Silicone Gels / administration & dosage

Substances

  • Dermatologic Agents
  • Glucocorticoids
  • Silicone Gels
  • Bleomycin
  • Interferons