This is a patient with extensive and severe keloids after burn injury. He was followed up by plastic surgery at a general hospital with only ointment prescription. Because of the severe contracture (pull), she was unable to straighten her back and her growth was severely affected. We devised a surgical design using a combination of -consecutive Z-plasty - 5-flap to remove the contracture. As expected, the skin defect could not be fully covered by the skin valve alone, so a small skin graft taken from the lateral thoracic region was added. After the surgery, to prevent the tightness (contracture) from recurring, compression with an adhesive splint and immobilization with a corset were performed for more than 3 months. This is called postoperative therapy and is so important that it determines half of the outcome. The patient, who was a five-year-old child at the time of surgery, is now in the upper grades of elementary school. So far, there has been no twitching even when the patient's back is straightened. As you can see, even keloids caused by severe burns can be improved to this extent with appropriately designed plastic surgery and careful postoperative care. Post-treatment treatment for keloids and scars lasts for three months, so we encourage the patient as if we were climbing a mountain together. I applaud the patient for a job well done!
Name of procedure
Keloidectomy of left forearm
Keloidectomy, Z-plasty (two Z-plasties)
Postoperative electron irradiation 20 Gy
Postoperative therapy: Elbow immobilization with taping and corset for 3 months.
Elbow joint immobilization with taping and corset for 3 months
Risks and Side Effects
Pain, bleeding, swelling, subcutaneous hematoma
Approx. 1 week
Cost Including Tax
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