Excision and Radiotherapy

Compare To Other Treatments

What Is It?

This method involves surgically removing the scar. Then, to prevent recurrence of the scar, radiotherapy is used hours or days following the surgery. Radiotherapy decreases the activity of cells present in the skin that normally produce collagen.

Non-recurrence rate

Strength of Evidence
Average 80% reduction in scarring
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  39. Chen, Y. et al. Postoperative carbon ion radiotherapy for keloids: a preliminary report of 16 cases and review of the literature. Wounds 26, 264–272 (2014).
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  44. Norris, J. E. Superficial x-ray therapy in keloid management: a retrospective study of 24 cases and literature review. Plast Reconstr Surg 95, 1051–1055 (1995).
  45. Darzi, M. A., Chowdri, N. A., Kaul, S. K. & Khan, M. Evaluation of various methods of treating keloids and hypertrophic scars: a 10-year follow-up study. Br J Plast Surg 45, 374–379 (1992).
  46. Supe, S. S., Supe, S. J., Rao, S. M., Deka, A. C. & Deka, B. C. Treatment of keloids by 90Sr-90Y beta-rays. Strahlenther Onkol 167, 397–402 (1991).
  47. Sällström, K. O. et al. Treatment of keloids with surgical excision and postoperative X-ray radiation. Scand J Plast Reconstr Surg Hand Surg 23, 211–215 (1989).
  48. Kovalic, J. J. & Perez, C. A. Radiation therapy following keloidectomy: a 20-year experience. Int J Radiat Oncol Biol Phys 17, 77–80 (1989).
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Side Effects

High side effects and adverse reactions


1 Review