6. Needle-free electronically-controlled jet injector treatment with bleomycin and lidocaine is effective and welltolerated in patients with recalcitrant keloids. 163 6. Characteristic N (%) N = 15 Shave excision 5 (33.3%) Silicon sheeting 4 (26.7%) Vascular or ablative laser treatment 6 (40.0%) Pressure EPI 3–4 bar 12 (40.0%) 4–5 bar 3 (40.0%) Motivation for EPI + bleomycin treatmenta Needle-phobia 5 (33.3%) Recurrence after initial efficacy 6 (40.0%) Severe pain during needle injections 7 (46.7%) Suboptimal or no results after previous treatments 15 (100.0%) Table 1. Baseline characteristics. Abbreviations: EPI, electronically-controlled pneumatic injector; Needle, needle-syringe injection; TCA, triamcinolone acetonide. a Multiple combinations possible.
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