1
|
Maloney ME, Manfredi JN, Dinsmore R. Cost-Conscious Prevention of Auricular Keloids With Finger Splints. Dermatol Surg 2024:00042728-990000000-00856. [PMID: 38935404 DOI: 10.1097/dss.0000000000004303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/28/2024]
Affiliation(s)
| | - John N Manfredi
- Medical College of Georgia, Augusta University, Augusta, Georgia
| | - Robert Dinsmore
- Department of Plastic Surgery, Medical College of Georgia, Augusta University, Augusta, Georgia
| |
Collapse
|
2
|
Al Zahrani RA, Alotaibi WN, Almanasef ZM, Malawi I, Mohammed LA, Algahamdi RA, Almohanna AA, AlKhaytan AN, Albishi RJ, Alsofyani YA, Aljindan FK. Comprehensive Analysis of Current Treatment Approaches for Keloids in Pediatrics: A Systematic Review. Cureus 2023; 15:e50290. [PMID: 38205454 PMCID: PMC10776453 DOI: 10.7759/cureus.50290] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/10/2023] [Indexed: 01/12/2024] Open
Abstract
Keloids, benign fibrous growths resulting from atypical skin responses to injuries, present a complex challenge in dermatology. These lesions, characterized by excessive collagen production, often lead to physical discomfort and psychological distress. While various treatment methods exist, the lack of a universally effective modality underscores the need for a systematic evaluation of current approaches. This systematic review aims to comprehensively analyze the current available treatment modalities used for the management of keloids in the pediatric population in terms of their effectiveness, safety, and quality of life outcomes. The review adheres to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A comprehensive search was conducted on PubMed and Google Scholar databases to identify relevant studies published in English. The review specifically focused on randomized controlled trials involving patients under 18 diagnosed with keloids, assessing different treatment modalities, and reporting validated measures of treatment efficacy, safety outcomes, and quality of life. The risk of bias was assessed using Cochrane's Risk of Bias Tool for randomized studies to ensure the methodological quality of the included trials. Four studies met the inclusion criteria, collectively involving 196 pediatric patients. Treatment interventions included glucocorticosteroid and fusidic acid cream with silicone gel patches, botulinum toxin type A injections, and Scarban silicone gel sheets. Patient-reported outcomes exhibited varying degrees of improvement in scar size, vascularity, and pliability. Complications, such as rash and wound infection, were reported in some cases. Based on our review of the selected studies and due to the incompletely understood pathogenesis of keloids, there is an ongoing lack of universally effective treatment modality for the management of keloids resulting in their persistently high recurrence rate.
Collapse
Affiliation(s)
| | - Wejdan N Alotaibi
- Pediatrics, Armed Forces Hospital Southern Region, Khamis Mashait, SAU
| | | | | | | | | | | | | | | | | | | |
Collapse
|