Five Year Retrospective Study on Keloid Management: Critical Overview

Aim: Keloid morbidity is mostly associated with the psychosocial effects of the cosmetically unsightly
scars. The study was carried out to highlight the availability of different treatment modalities and the
effectiveness of our treatment strategies.
Materials and Methods: A 5 year retrospective study of all patients treated with keloid from March
2012 to February 2017. In this study all patients with keloids attending the plastic surgery clinic at
Federal Medical Centre Makurdi and Benue State University Teaching Hospital Makurdi and receiving
any form of treatment were included.
Results: Thirty one patients were included in our study. Keloids represented 7.2% of benign skin
lesions. Keloids were twice more common in females than males. Young patients particularly
belonging to the 21–30 year old group were mostly affected. Head and neck area was the
predominantly affected anatomic site. All patients received some form of treatment and most (90.3%)
were treated with the combination of surgery and intralesional triamcinolone acetonide with excellent
results. Recurrence was noted in 25.8% of patients.
Conclusion: our study highlights the excellent results of the combination of surgery. With intralesional
triamcinolone acetonide, even in patients with difficult keloids like patients from African descent.