Salim YÜCE, Kerem POLAT, Emine Elif ALTUNTAŞ, Suphi MÜDERRİS, Ebuzer BEKAR

Yanakta dev keloid olgusu

Keloid ve hipertrofik skar dokuları, sıklıkla ciltte yara iyilesmesini takiben gelişen ve nedeninin çoğu kez bilinmediği aşırı kollajen doku formasyonudur. Bu dokular, sıklıkla piercing, travma, yanık gibi olayları takiben normal doku-yara sınırında olusur, spontan gerileme göstermez ve eksizyon sonrası tekrarlama oranı yüksektir. Tedaviye yönelik hem cerrahi hem de cerrahi olmayan teknikler uygulanabilir. Tedavi etkinliğini ortaya koymak için en az bir yıl takip gerekir. Yanakta kitle nedeniyle opere edilen hasta takibe alındı. Lokalizasyonu ve görünümü ile ilginç bulunan olgu tedavi açısından literatür eşliğinde sunulmuştur

A case of huge keloid at the cheek

Keloids and hypertrophic scar tissues result from excessive collagen deposition. The cause of deposition is not known yet, and it usually develops after healing of a skin injury. These tissues are frequently formed at the border of normal tissue and wound after traumas like piercing, burning, etc. They usually do not regress spontaneously and tend to recur after excision. Treatment methods of keloids include both surgical and nonsurgical methods. At least one year follow-up period is necessary to fully evaluate the effectiveness of therapy. The patient underwent surgery on his cheek mass was followed. This case is presented for its interesting appearance and location with a literature review

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1. Burrows NP, Covell CR. Disorders of connective tissue: Keloids and hypertrophic scars. In: Burns T, Breathnach S, Cox N, Griffiths C, eds. Rook’s Textbook of Dermatology, seventh ed. Oxford: Blackwell Publishing; 2004: 54-57.
2. Stern JC, Lucente FE. Carbondioxide laser excision of earlobe keloids. A retrospective study.Arch Otolaryngol Head Neck Surg. 1989;115:1107-11.
3. Lee Y, Minn K, Baek R, Hong J. A new surgical treatment of keloid: keloid core excision.Ann Plastic Reconstrc Surg. 2001;46:135-40.
4. Larrabee WF, East CA, Jaffe HS, Stephenson C, Peterson KE. Intralesioner interferon gamma treatment for keloids and hypertrophic scars. Arch Otolaryngol Head Neck Surg. 1990;116:1159-62.
5. Kim D, Kim E, Eo S, Kim K, Lee S, Bek H. A surgical approach for earlobe keloid; keloid filled flap. Plastic Reconstrc Surg. 2004;113:166-74.
6. Lindsey WH, Davis PT. Facial keloids. A 15 year experience. Arch Otolaryngol Head Neck Surg. 1997;123:397-400.
7. Atiyeh B, Costagliola M, Hayek N. Keloid or hypertrophic scar the controversy: Review of the literature. Annals of Plastic surgery 2005;54(6):676-80.
8. Shea R, Prieto VG. Fibrous lesions of dermis and soft tissue: Hypertrophic scars and keloids. In: Freedberg IM, Eisen AZ, Wolf K, Austen KF, Goldsmith LA, Katz SI, eds. Fitzpatrick’s Dermatology in General Medicine, sixth ed. New York: McGraw-Hill Co.; 2003:998-1001.
9. Stucker FJ, Shaw GY. An approach to management of keloids. Arch Otolaryngol Head Neck Surg. 1992;118:63–67.