Most appropriate management of Recurrent Keloid is?
Treatment: Keloids rarely regress with time, often refractory to medical and surgical intervention First line treatment: silicone in combination with pressure therapy and intralesional coicosteroid injection Refractory cases (after 12 months of therapy): excision + post op radiotherapy (external beam or brachytherapy) New treatment modalities: internal cryotherapy and 5% imiquimod
Excisional surgery
Intramarginal excision followed by radiation
Cryosurgery
Silicone gel sheeting
Wound Healing, Tissue Repair and Scar