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Long-term follow-up in the treatment of keloids by combined surgical excision and immediate postoperative adjuvant irradiation
Aprospective study on the result of surgical excision
and adjuvant irradiation for therapy-resistant keloids
was conducted by van de Kar et al. (Plast. Reconstr.
Surg. 119: 2248, 2007). This approach to keloids follows
the International Clinical Recommendations on
Scar Management based on retrospective studies that
do not define recurrence. Moreover, the significant
variations in methodology of most of the studies is
well highlighted; many of them, being retrospective,
refer to a treatment that is not standardized, and
inclusion/exclusion criteria were set afterward (subjecting
the study to bias), making it difficult to compare
results. What is really clear is that there is still
no consensus on the optimal treatment of keloids.
After a mean follow-up of 19 months, van de Kar et
al. had a cure rate of 28 percent, compared with the
78 percent average of previous studies. They ascribed
their low rate to the “long” follow-up and the strict
inclusion criteria of their study
Septum-enhanced mammaplasty in inferocentral pedicled breast reduction for largebreasted and gigantomastia p
Microsurgical approach and advanced protocols in the treatment the aquired pseudosyndactily in young patients affected by epedermolisys bullosa
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