Journal of Cutaneous and Aesthetic Surgery

ORIGINAL ARTICLE
Year
: 2011  |  Volume : 4  |  Issue : 1  |  Page : 2--6

Effect of carbon dioxide laser ablation followed by intralesional steroids on keloids


Gaurav A Garg, Prajct P Sao, Uday S Khopkar 
 Department of Dermatology, Seth GS Medical College and KEM Hospital, Mumbai, India

Correspondence Address:
Uday S Khopkar
Department of Dermatology, KEM Hospital, Parel, Mumbai-400 012, Maharashtra
India

Abstract : Keloid is a difficult-to-treat condition and an ideal treatment modality is not available. Carbon dioxide (CO 2 ) laser is one of the modalities to treat keloids. Aim : To evaluate the effect of CO 2 laser ablation followed by intralesional steroids on keloids. Settings and Design : This was a prospective, single-center, uncontrolled, open study. Materials and Methods : Twenty-eight patients having 35 keloids were included in the study. Keloids were ablated or excised with CO 2 laser followed by intralesional steroid 3-4 weeks apart for 6 months. Results were evaluated after 6 months of stopping of intralesional steroids. Statistical Analysis : Fisher«SQ»s exact test was applied for obtaining difference in recurrence rate of regular and irregular patients. Results : Thirteen patients followed up regularly for intralesional steroids. During 6 months of follow-up after stoppage of steroids, only two patients showed recurrence. Ten patients were irregular for intralesional steroids and seven of them showed recurrence. Difference in recurrence rate of regular and irregular patients was significant. Conclusion : Only CO 2 laser ablation is not sufficient for halting the pathogenesis of keloid formation.We therefore conclude that CO 2 laser followed by intralesional steroid is a useful therapeutic approach for the treatment of keloids; however, patients need to be observed for recurrence over the next 1 year.


How to cite this article:
Garg GA, Sao PP, Khopkar US. Effect of carbon dioxide laser ablation followed by intralesional steroids on keloids.J Cutan Aesthet Surg 2011;4:2-6


How to cite this URL:
Garg GA, Sao PP, Khopkar US. Effect of carbon dioxide laser ablation followed by intralesional steroids on keloids. J Cutan Aesthet Surg [serial online] 2011 [cited 2019 Sep 18 ];4:2-6
Available from: http://www.jcasonline.com/article.asp?issn=0974-2077;year=2011;volume=4;issue=1;spage=2;epage=6;aulast=Garg;type=0