Keloid is one of the most common diseases in plastic surgery, and there is no uniform standard for its treatment. For keloid scars with recurrent breakouts and infections, which are progressively enlarged, painful and itchy, and seriously affect the patient’s quality of life, and have a potential for malignant transformation, surgical treatment is required before combining with other adjuvant treatments.
The requirement of surgical treatment is to excise the lesion while performing tension-free repair to minimize its recurrence rate, and flap grafting is undoubtedly the best treatment tool.
The advantages of flap repair over skin grafting: 1. No late contracture of the flap occurs, and compared with skin grafting, the flap can truly achieve tension-free repair, eliminating an important trigger for keloid recurrence; 2. Flap repair not only comes with skin tissue, but also provides dermis and subcutaneous fat tissue, and has its own blood flow, so it can improve the local tissue conditions and blood flow in the surgical area, which is conducive to controlling infection and reducing The thickness of the flap can tolerate radiotherapy, and radiotherapy on the skin piece has the possibility of necrosis of the skin piece, and there is a possibility of radioactive chronic ulcers in the long term; 4, for keloid cases with malignant lesions, surgery is needed to expand the removal of local malignant tissues, and there are often deep bones, tendons and other important tissues exposed, so there is no condition for skin implantation, and only The skin flap repair is better than the skin grafting surgery in terms of color and texture.