Abstract
We developed a new scar scale (Kyoto Scar Scale) to assess keloids following surgery and irradiation. The scale consists of objective signs (0~2 points each); redness, hardness and elevation, and subjective symptoms (0~1 point each); itching and pain. We then divided the results using the total scores (0~8 points) into four grades; excellent (0 point), good (1~2 points), fair (3 points) and poor (4~8 points). In our results, 25 keloids (73.5%) were excellent, 3 keloids (8.8%); good, 4 keloids (11.8%); fair and 2 keloids (5.9%); poor. Our local control rate was 82.3%.
All keloids that were scoved as excellent 6 months after treatment have remained excellent for two years. After all symptoms disappeared, recurrence seldom occurred. The recurrence was noted within 1 year, indicating that follow up beyond one year is necessary. Assessed scores change during clinical follow up, the timing of the assessment is important.
