We read with great interest the article by Patel et al. entitled "Treatment outcomes for keloid scar management in the pediatric burn population" and we congratulate the authors on their interesting study [1]. The authors highlight no significant difference between "excision and grafting" and "steroid and surgery regimen" in terms of recurrence. Aside from various keloid patients that we have reported [2-5], we treated dozens of burn-related foot keloids patients with complete excision followed by full thickness skin graft (FTSG) and subsequent intraoperative and postoperative intralesional steroid injections. Complete excision of keloid tissue followed by full thickness skin grafting is sometime sufficient for prevention of recurrence. However, adding intraoperative and postoperative intralesional steroid injections to this regimen is significantly helpful to achieve high patient satisfaction by reducing the degree and frequency of keloid recurrence and triamcinolone 20 mg/mL initially followed by consecutive 10 mg/mL was most effective, with high patient satisfaction [5].
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