Triple keloid therapy: a combination of steroids, surgery and silicone gel strip/sheet for keloid treatment

Keloid management continues to pose clinical problems. This is because the lesion has a high rate of recurrence after almost any type of treatment. To improve results, a triple therapy comprising the use of steroid injections and cream (triamcinolone acetonide), surgery and silicone gel strip/sheet pressure application was instituted. The results of 120 patients treated within that period of January 1994 to December 1997 at the Komfo Anokye Teaching Hospital (KATH) were analyzed. The follow-up time ranged from 2 to 4 years. The recurrence rate was 12.5% after 13 months with no increase over time.