Evidence map›Paper›PMID 41838081›Full record

Trial reportAesthetic plastic surgery2026

Comparing Punch Excision Combined with Triamcinolone Acetonide and 5-Fluorouracil Injection and Manual Fractional Technology Combined with Triamcinolone Acetonide and 5-Fluorouracil Injection in Keloids: A Single-Blinded Randomized Clinical Trial.

Xianzhong Zhu, Yurui Han, Peijun Mai, Yanghai Wei, Yiran Qiu, Jiawen Yin, Ying Zhang, Jin Su, Wenlin Yang, Qing Qi

Abstract readRandomized Controlled TrialComparative Study
PubMed Publisher
In one paragraph

Trial report in Aesthetic plastic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Xianzhong Zhu *Department of Dermatology and Venereology, The Second Affiliated Hospital of Guangzhou Medical University, 250 East Changgang Road, Guangzhou, China.
Yurui Han *Department of Dermatology and Venereology, The Second Affiliated Hospital of Guangzhou Medical University, 250 East Changgang Road, Guangzhou, China.
Peijun Mai *Department of Dermatology and Venereology, The Second Affiliated Hospital of Guangzhou Medical University, 250 East Changgang Road, Guangzhou, China.
Yanghai WeiDepartment of Dermatology and Venereology, The Second Affiliated Hospital of Guangzhou Medical University, 250 East Changgang Road, Guangzhou, China.
Yiran QiuDepartment of Dermatology and Venereology, The Second Affiliated Hospital of Guangzhou Medical University, 250 East Changgang Road, Guangzhou, China.
Jiawen YinDepartment of Dermatology and Venereology, The Second Affiliated Hospital of Guangzhou Medical University, 250 East Changgang Road, Guangzhou, China.
Ying ZhangDepartment of Dermatology and Venereology, The Second Affiliated Hospital of Guangzhou Medical University, 250 East Changgang Road, Guangzhou, China.
Jin SuDepartment of Dermatology and Venereology, The Second Affiliated Hospital of Guangzhou Medical University, 250 East Changgang Road, Guangzhou, China.
Wenlin YangDepartment of Dermatology and Venereology, The Second Affiliated Hospital of Guangzhou Medical University, 250 East Changgang Road, Guangzhou, China.
Qing QiDepartment of Dermatology and Venereology, The Second Affiliated Hospital of Guangzhou Medical University, 250 East Changgang Road, Guangzhou, China. qiqing@gzhmu.edu.cn.ORCID http://orcid.org/0000-0002-4306-3680

Funding

Second Affiliated Hospital of Guangzhou Medical University 2022-LCYJ-YY-04
6 · The paper itself

Abstract

backgroundIn this study, we conducted a randomized controlled clinical trial to investigate the effectiveness and safety of punch excision versus manual fractional technology (MFT) in patients undergoing intralesional triamcinolone acetonide and 5-fluorouracil injection.

methodsPatients with keloid were randomly divided into two groups: One received punch excision combined with intralesional triamcinolone acetonide and 5-fluorouracil injection (punch excision + TAC&5-FU), and the other received MFT combined with intralesional triamcinolone acetonide and 5-fluorouracil injection (MFT + TAC&5-FU). Designed treatments and regular evaluations were conducted.

resultsThe significant improvement was observed in both groups. Regarding the effectiveness of different combined therapies, MFT combined with TAC&5-FU demonstrated a greater improvement of mVSS, POSAS, and DLQI without statistical differences when comparing with those of punch excision combined therapy. Likewise, the injection times and adverse events were generally similar across both groups.

conclusionThis study demonstrated that punch excision combined with TAC&5-FU, as well as MFT combined with TAC&5-FU, was promising therapeutic options for keloids without a notable difference in effectiveness and safety. LEVEL OF EVIDENCE I: A single-blinded randomized clinical trial. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

FluorouracilKeloidTriamcinolone AcetonideAdolescentAdultCombined Modality TherapyFemaleGlucocorticoidsHumansInjections, IntralesionalMaleMiddle AgedSingle-Blind MethodTreatment OutcomeYoung AdultFluorouracilGlucocorticoidsTriamcinolone Acetonide5-fluorouracilKeloidManual fractional technologyPunch excisionTriamcinolone acetonideUltra-pulse CO2 laser

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.