Alternative strategy to treat keloid and hypertrophic scar surgically

Background: Hypertrophic scars and keloids are fibro-proliferative disorders that may arise after any deep cutaneous injury caused by trauma, burns, surgery, etc. Hypertrophic scars and keloids are cosmetically problematic, and in combination with functional problems such as contractures and subjective symptoms including pruritus, these significantly affect patients’ quality of life. We describe pre-expanded flap for surgical treatment of keloid or hypertrophic scar. The aim of our study is to show the promising results of pre-expanded flaps in keloid and hypertrophic scar.Method: Retrospective analysis of the data of patients with keloid or hypertrophic scar over chest having treatment in a tertiary centre between September 2019 to December 2021.Result: Out of 12 patients 9 patients healed with ordinary scar and 3 developed partial scar site hypertrophies. 10 patients believed that the esthetic results were good while 2 patients felt just satisfied with the results.Conclusion: Pre-expanded skin flap is an effective and safe surgical method for reconstruction after keloid/hypertrophic scar resection. It offers another useful and successful surgical choice for large keloid treatment. By our study it is concluded that pre-expanded flaps provide excellent result in treatment of keloid/hypertrophic scar in child and adolescent age group.