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All Journal Oto Rhino Laryngologica Indonesiana eJournal Kedokteran Indonesia
Widodo, Dini Widiarni
Departemen Ilmu Kesehatan Telinga Hidung Tenggorok-Bedah Kepala Leher, Fakultas Kedokteran Universitas Indonesia/ Rumah Sakit Dr. Cipto Mangunkusumo, Jakarta
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Eksisi Intralesi sebagai Strategi Tatalaksana Keloid: Laporan Kasus Berbasis Bukti Trimartani, T.; Widodo, Dini Widiarni; Ranakusuma, Respati Wulansari; M, Mesiwisani; Putri, Annisa; Reksodiputro, Mirta Hediyati
Oto Rhino Laryngologica Indonesiana Vol. 54 No. 1 (2024): VOLUME 54, NO. 1 JANUARY - JUNE 2024
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v54i1.646

Abstract

Background: Several therapeutic modalities exist for keloids, but management them remains a challenge due to high recurrence rates. These case series discussed surgical therapy using intralesional excision. Purpose: To compare the effect of intralesional excision with extra-lesional excision followed by post-operative triamcinolone injection, on the recurrence rates of auricular keloids. Case reports: Three patients with keloids treated with intralesional excision were presented. The first patient, a 20-year- old male, had keloids on both ears, nose, hands, and feet following burnt injury. The second patient, a 19-year-old female, had a keloid lump on the left auricle. The patient had a history of bilateral microtia and had undergone stage 1 auriculoplasty with rib grafting on both ears. The third patient, a 36-year-old woman with complaints of a keloid appearing for 3 years in the helix of her right ear, and underwent surgical excision followed by triamcinolone injection. Clinical question: How does the recurrence in patients with auricular keloid undergoing intralesional excision and postoperative triamcinolone injection, compared to extra-lesional excision and triamcinolone injection? Method: A systematic literature search was conducted using PubMed, Cochrane Library, Scopus, and ClinicalKey with relevant keywords: “intralesional excision”, AND “keloid”. Result: A total of 192 articles were found, and 3 articles met the eligibility criteria. Conclusion: The literature search revealed no difference in the recurrence rates between intralesional and extra-lesional excision with triamcinolone injection. Further research on this topic is needed. Keywords: intralesional excision, keloid, recurrence
Co-Authors Akbar, Viharsyah Aulia Alida Harahap Amelia, Indira Annisa Putri Djohan, Raditya Putra Eka Dian Safitri Gustria, Wulan Mega Hanrahan, Joanna Erin Helmi Helmi Hemastia Manuhara Harba'i Irfan Irfan Jenny Bashiruddin M, Mesiwisani Mayangsari, Ika Dwi Mirta Hediyati Reksodiputro Nuri Aslami Nurjati Chairani Siregar Priyono, Harim Raden Ayu Anatriera Raden Ayu Anatriera Ranakusuma, Respati Wulansari Reksodiputro, Mirta Hediyati Satria Dipo Putra Asmoro Shabrina, Febby Solly Aryza Supit, Ivana Suryati, Irma Taty Zubaidah Cornain Trimartani, T. Trimartani, Trimartani Trmartani