Plastic surgery; its principles and practice . treatment of keloid by excision and whole-thickness grafting.—i. Anextensive thick keloid of the wrist following a burn was completely excised and the defectcovered with a whole-thickness graft. 2. Partial excision of a keloid almost surroundingthe forearm. The area covered with a whole-thickness graft extended the length of thegrowth and from the upper margin to a longitudinal scar which can be seen near the lowermargin of the growth. The ultimate result is considerable improvement in most cases, butin some instances the graft also becomes involv
Plastic surgery; its principles and practice . treatment of keloid by excision and whole-thickness grafting.—i. Anextensive thick keloid of the wrist following a burn was completely excised and the defectcovered with a whole-thickness graft. 2. Partial excision of a keloid almost surroundingthe forearm. The area covered with a whole-thickness graft extended the length of thegrowth and from the upper margin to a longitudinal scar which can be seen near the lowermargin of the growth. The ultimate result is considerable improvement in most cases, butin some instances the graft also becomes involved with keloid tissue. In such cases thegrafted area will gradually become thinner and softer, and eventually be much less objec-tionable than the keloid itself. Sometimes the graft will be wholly successful and exceptfor the marginal scar will replace the keloid with normal skin. stance circulating in the blood, or which is present in the skin, may beresponsible for these growths, but this has not yet been determined. SCARS AND KELOIDS 219. Fig. 168.—Keloid following a burn of the shoulder, neck and axilla of a white boy.—The limit of abduction is shown. These keloids were partially excised and whole-thickness grafts were implanted. The result was fairly satisfactory as there was completerestoration of function, and the remaining keloid softened considerably. This patienthas been under observation for nine years since operation.
Size: 2105px × 1187px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
