Keloid scar recurrence in patients treated with surgical resection plus radiotherapy (in Spanish)

Abstract

INTRODUCTION. The healing process may derive in abnormalities, that affect the aesthetics and functional appearance of the affected area. being the combination of treatments, which allowed a favorable result. OBJECTIVES: To evaluate the recurrence of keloid scar in patients treated with surgical resection plus radiotherapy at the “Carlos Andrade Marin” Specialty Hospital during the period from 2013 to 2019. METHODOLOGY: Descriptive, analytical and retrospective study. From a population of 2,960 patients, a sample of 100 was taken, who met the inclusion criteria: diagnosis ICD10 L910 keloid scar, ages between 12 and 75 years, complete data in the Medical Records and combination of surgical treatment and radiotherapy. Exclusion criteria: ages out of range, incomplete medical records data, different treatment, the study was carried out at the ¨Carlos Andrade Marín¨ Specialty Hospital during the period January 2013 to December 2019. The data were taken from the AS400 system clinical records , the analysis was carried out in the statistical program International Business Machines Statistical Package for the Social Sciences, version 22 RESULTS: were located in the auricular pavilion, 57% were after perforation, recurrence occurred in 24% of patients, and the main complication was radiodermatitis. CONCLUSIONS: The main factors related to the recurrence of the keloid scar were sex, location in the ear and causative agents such as trauma and perforation. The most common complications were radiodermatitis and wound dehiscence.