OSUNDWA, T.M., CHINDIA, M.L, GUTHUA, S.W., AWANGE, D.O. Amelogenesis imperfecta in Kenya. J.Dent Res 78(5), 1091, 1999 (Abs).

Citation:
W PROFGUTHUASYMON. "OSUNDWA, T.M., CHINDIA, M.L, GUTHUA, S.W., AWANGE, D.O. Amelogenesis imperfecta in Kenya. J.Dent Res 78(5), 1091, 1999 (Abs).". In: J.Dent Res 78(5), 1091, 1999 (Abs). Elsevier; 1999.

Abstract:

S.W. Guthua , D.L. Mwaniki and F.G. Macigo. Faculty of Dental Sciences, University of Nairobi , Kenya
J. of Dental Research 1999, Vol. 78
Keloids are soft tissues growths which develop as a complication in later stages of wound healing. They occur more commonly in blacks in comparison to other racial groups. Although hereditary factors are implicated in individual selection and pathogenesis of keloids, the aetiology is unknown. The individuals who succumb to this disfiguring condition are usually psychologically traumatized thereby influencing their self-esteem. The management of these lesions is challenging and surgery alone without adjuvant radiotherapy shows high recurrence rate.
10 patients with keloids in the cervicofacial region are presented. The patients were divided in two categories. Category I patients (N=5) were managed with surgery and local steroid therapy. Category II patients (N=5) Received adjuvant superficial radiotherapy treatment (SXRT) after surgery.
In two of the patients, in Category I, there was recurrence whereas in Category II, there was none. Complications observed in category I patients included; hypopigmentation and lipotrophy while in Category II patients, localized dermatitis, sloughing of the skin and local tissue necrosis (N=1) were observed. The complications related to SXRT improved and no invasive intervention was required. SXRT if meticulously fractionated and monitored seems to be the most favourable adjuvant modality in the management of keloids among the black population .

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