A Combined Therapy of Steroid Injection, Silicone Gel Sheeting, and Laser for Hypertrophic Scar and Keloid.

Choi, Sang Rok; Yoon, Min Ho; Dong, Eun Sang; Yoon, Eul Sik

Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2006;33(6):700-705.
Published online November 1, 2006.

A Combined Therapy of Steroid Injection, Silicone Gel Sheeting, and Laser for Hypertrophic Scar and Keloid.

Sang Rok Choi, Min Ho Yoon, Eun Sang Dong, Eul Sik Yoon

Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Gyeonggi-do, Korea. yesanam2@kumc.or.kr

Abstract

PURPOSE
For hypertrophic scars and keloids no universally effective treatment modality exists. Surgical revision, intralesional steroid injection, silicone gel sheeting, pressure, laser, and others have been used with variable success, but many treatments are associated with high recurrence rates. Although optimal treatment remains undefined, successful treatment can be obtained through a combined therapeutic approach. METHODS: We used three therapeutic modalities in combination, which are intralesional injection of triamcinolone acetonide, silicone gel sheeting, and 585 nm flashlamp-pumped pulsed dye laser. Fifty-eight cases of hypertrophic or keloid scar were treated by combined therapeutic regimen for mean period of 18 months. The changes of thickness, color, and pliability of scars were evaluated with clinical photographs by grading scale.
RESULTS
As summing the grades and categorizing the result into three group, we obtained 28% good, 67% fair, and 5% poor results. There was a desirable improvement of scars with insignificant adverse effects.
CONCLUSION
Combination of intralesional steroid injection, silicone gel sheeting, and pulsed dye laser can lead to successful treatment of hypertrophic scar and keloid.

Keywords: Hypertrophic scar; Keloid; Combined modality therapy