J Korean Soc Plast Reconstr Surg.  2006 Nov;33(6):700-705.

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

• Choi SR
• Yoon MH
• Dong ES
• Yoon ES

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.

Keyword

Hypertrophic scar; Keloid; Combined modality therapy

MeSH Terms

Cicatrix
Cicatrix, Hypertrophic*
Combined Modality Therapy
Injections, Intralesional
Keloid*
Lasers, Dye
Pliability
Recurrence
Reoperation
Silicone Gels*
Triamcinolone Acetonide
Silicone Gels
Triamcinolone Acetonide