Plastic surgery; its principles and practice . 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.. Fig. 169.—Extensive keloid on the back and buttock of a negro, following a burn.—Aportion of the growth has not yet become pigmented, but the pigment is ext
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Plastic surgery; its principles and practice . 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.. Fig. 169.—Extensive keloid on the back and buttock of a negro, following a burn.—Aportion of the growth has not yet become pigmented, but the pigment is extending infrom the edges, and also in isolated patches. 220 PLASTIC SURGERY Keloids are hard and usually red and may project above the surfaceof the skin, in some cases for several centimeters. They are rigid andthus in certain situations (as around joints) may interfere with function.They often itch and burn. Some are very large and may be peduncu-lated, and these often break down and ulcerate, owing to poor circulation. Some keloids, if left alone, gradually become smaller, but this is theexception rather than the rule. The growth may develop in any scar, great or small. I have noticedthat it is particularly apt to occur following acid burns. There is nosure way of preventing the occurrence of keloid. The methods oftreatment are uncertain, and the liklihood of recurrence is mostprobable.