Efficacy of Triamcinolone in Treatment of Keloid

Abstract

Introduction Keloids are well known for recurrence. There is no standardized regimen for the treatment of keloids. Many different treatment modalities such as surgical excision, intralesional corticosteroids, radiotherapy, and pressure earrings have been used for keloids. Surgical excision alone may result in recurrence rate of 40%-100%. This study was conducted to evaluate the efficacy of triamcinolone in preventing recurrence of Keloid. Materials and Methods Of the 40 patients who underwent excision of keloid at a tertiary care centre, surgery alone was performed in 20 patients and surgery with post operative intra-lesional triamcinolone injection was given weekly interval for 6 weeks in another 20 patients. Patients were followed up for the period of 2 years Results Recurrence was found in 5 patients who underwent excision alone and there was no recurrence among patients who received post operative intra-lesional triamcinolone. Conclusion Multi-modality treatment is better to prevent recurrence of Keloid.

Keywords

• Keloid
• Excision
• Triamcinolone
• Injections, Intralesional
• Recurrence