TITLE:
Concurrent Multi-Modality Treatment of Keloids (CMTK) Not Manageable by Conventional Postoperative Radiotherapy
AUTHORS:
Kamal Malaker, Mustafa Zaidi, Mohamad Rida Franka, Tawfik Al Yafi
KEYWORDS:
Unresceptable Keloids; Non-Surgical Treatment
JOURNAL NAME:
International Journal of Clinical Medicine,
Vol.4 No.5,
May
20,
2013
ABSTRACT: Objective: To design and test a
treatment regimen which is clinically responsive, readily available, cost
effective, and applicable especially to children and women of child bearing
age. Design Setting: A
prospective cohort study. Setting: Two major postgraduate teaching hospitals: one in Tripoli, Libya
and the other in Jeddah, Saudi Arabia. Participants: Fifty-seven patients with 79 keloids, referred from Plastic
Surgery Units between April 1996 and January 2005. Main Outcome Measure: Degree of
flattening of the keloidal lesion and symptomatic recovery. Results: Result of treatment has been
analyzed using unified set criteria. Seventy-seven percent of this cohort had
complete response. 19% of cases had partial response, 50% acknowledged the
treatment outcome had been “satisfactory” and 44% had an “acceptable” outcome.
There was no significant acute or delayed reaction. Conclusion: The technique appears
universally adaptable, cost effective, and can safely be prescribed for
children and women of child-bearing age. In spite of prolonged treatment course, compliance was excellent.