TY - JOUR
T1 - Current Practice in Keloid Treatment
T2 - a Survey of Dutch Dermatologists and Plastic Surgeons
AU - Yin, Qi
AU - Wolkerstorfer, Albert
AU - Niessen, Frank B.
AU - Gibbs, Susan
AU - Louter, Juliette M.I.
AU - Van Zuijlen, Paul P.M.
AU - Lapid, Oren
N1 - Publisher Copyright:
© 2023 Lippincott Williams and Wilkins. All rights reserved.
PY - 2023/9/1
Y1 - 2023/9/1
N2 - BACKGROUNDSeveral therapeutic options are available for the treatment of keloids, but it remains unclear which treatment options are most commonly used by practitioners.OBJECTIVETo explore the prevailing treatment for different keloid phenotypes among dermatologists and plastic surgeons in the Netherlands.METHODSMembers of the Dutch society for Plastic surgery and the Dutch society for Dermatology and Venereology were asked to participate. Questions elaborated on the treatment for a small and a large keloid on the mandibula and multiple keloids on the chest.RESULTSOne hundred forty-three responses were obtained. Heterogeneity in treatment was extremely high for the small, large, and multiple keloids with 27, 35, and 33 various first choices, respectively. Intralesional corticosteroids were most often chosen for all 3 different keloid phenotypes. These were mostly (61%) administered as monotherapy for the small keloid and mostly combined with other treatments for the large keloid (19%) and multiple keloids (43%). Surgery was chosen regularly (22%) for the large keloid, mostly combined with intralesional corticosteroids (10%) or brachytherapy (8.4%).CONCLUSIONKeloid treatment is very heterogeneous among dermatologists and plastic surgeons, even in a relatively small country as the Netherlands. Moreover, the treatment choice depends on the keloid phenotype.
AB - BACKGROUNDSeveral therapeutic options are available for the treatment of keloids, but it remains unclear which treatment options are most commonly used by practitioners.OBJECTIVETo explore the prevailing treatment for different keloid phenotypes among dermatologists and plastic surgeons in the Netherlands.METHODSMembers of the Dutch society for Plastic surgery and the Dutch society for Dermatology and Venereology were asked to participate. Questions elaborated on the treatment for a small and a large keloid on the mandibula and multiple keloids on the chest.RESULTSOne hundred forty-three responses were obtained. Heterogeneity in treatment was extremely high for the small, large, and multiple keloids with 27, 35, and 33 various first choices, respectively. Intralesional corticosteroids were most often chosen for all 3 different keloid phenotypes. These were mostly (61%) administered as monotherapy for the small keloid and mostly combined with other treatments for the large keloid (19%) and multiple keloids (43%). Surgery was chosen regularly (22%) for the large keloid, mostly combined with intralesional corticosteroids (10%) or brachytherapy (8.4%).CONCLUSIONKeloid treatment is very heterogeneous among dermatologists and plastic surgeons, even in a relatively small country as the Netherlands. Moreover, the treatment choice depends on the keloid phenotype.
UR - http://www.scopus.com/inward/record.url?scp=85169175727&partnerID=8YFLogxK
U2 - 10.1097/DSS.0000000000003869
DO - 10.1097/DSS.0000000000003869
M3 - Article
C2 - 37389923
AN - SCOPUS:85169175727
SN - 1076-0512
VL - 49
SP - 844
EP - 850
JO - Dermatologic Surgery
JF - Dermatologic Surgery
IS - 9
ER -