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- Title
EP414 EFFECTIVENESS OF CO2 FRACTIONAL LASER COMBINED WITH TRIAMCINOLONE INJECTION AND CRYOTHERAPY ON REFRACTORY KELOID SCAR.
- Authors
Chae Eun Yang
- Abstract
Aim: Keloids rarely resolve spontaneously so a couple of methods are considered to resolve them, mainly intralesional excision and steroid injection. We would like to introduce a case in which the combination of laser and cryotherapy was effective for keloids that have continued to recur for 15 years despite various surgical and non-surgical treatments. Method: A 45-year-old female received Cesarean-resection at 2005, presented keloid on suprapubic area on previous Cesareanresection site. Intralesional excision was done in 2008. Due to recurrence, a second intralesional excision was performed in 2009. It recurred and intralesional excision and postoperative electron therapy (9MV EB, Fractional 400 cGy, total 1200cCy) was done for prevention of recurrence in 2011. Nevertheless, keloid scar recurred again. Intralesional excision was done in 2013. After that, Triamcinolone and botox injection was done for 4 years. Last intralesional excision was done in 2017. After that, Triamcinolone injection was done for 4 years again. Despite 15 years of treatment, it couldn't be easily resolved. Results / Discussion: After 5 years from last surgical treatment on 2017, CO2 fractional laser combined with Triamcinolone injection with subcisions and cryotherapy was performed per 3 week 6 times. Then now the lesion shows improved appearance. Conclusion: CO2 fractional laser combined with Triamcinolone injection and cryotherapy can be considered for refractory keloid scar.
- Subjects
ITALY; LASER therapy; TRIAMCINOLONE; INJECTIONS; COLD therapy; CONFERENCES &; conventions; KELOIDS; TREATMENT effectiveness; CARBON dioxide
- Publication
Journal of Wound Management, 2023, Vol 24, Issue 2, p268
- ISSN
2788-5771
- Publication type
Article