{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T04:38:48Z","timestamp":1783485528350,"version":"3.55.0"},"reference-count":7,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[1999,10,1]],"date-time":"1999-10-01T00:00:00Z","timestamp":938736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Facial Plast Surg"],"published-print":{"date-parts":[[1999,10,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To demonstrate the principle of excision with healing by secondary intention in the treatment of occipital acne keloidalis, a chronic, inflammatory condition characterized by inflammation and hypertrophic scarring on the posterior aspect of the neck and the occipital aspect of the scalp.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Academic teaching institution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Five consecutive patients with massive (&gt;10 \u00d7 15-cm) occipital keloids, all actively infected and growing, were treated by excision of the lesion deep to the dermis and hair follicles. Aggressive local wound care of the wound followed, with the end point being complete reepithelialization of the region.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Complete wound closure took place in all patients within 6 to 10 weeks. No complications or recurrences occurred. Cosmetic results were judged as fair to good. Follow-up ranged from 2 months to 4 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Successful treatment of occipital acne keloidalis with direct excision and secondary intention wound healing is demonstrated. While cosmetic results are not optimal, this form of treatment has produced stable scar beds without return of infection or keloids.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1001\/archfaci.1.4.308","type":"journal-article","created":{"date-parts":[[2004,3,1]],"date-time":"2004-03-01T23:33:13Z","timestamp":1078183993000},"page":"308-311","source":"Crossref","is-referenced-by-count":19,"title":["Treatment of Occipital Acne Keloidalis by Excision Followed by Secondary Intention Healing"],"prefix":"10.1177","volume":"1","author":[{"given":"Joseph","family":"Califano","sequence":"first","affiliation":[{"name":"From the Department of Otolaryngology\u2013Head and Neck Surgery (Dr Califano) and Department of Dermatology (Dr Miller), Johns Hopkins Hospital, Baltimore, Md; and the Division of Otolaryngology, Plastic and Reconstructive Surgery, University of New Mexico Health Sciences Center, Albuquerque (Dr Frodel)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stanley","family":"Miller","sequence":"additional","affiliation":[{"name":"From the Department of Otolaryngology\u2013Head and Neck Surgery (Dr Califano) and Department of Dermatology (Dr Miller), Johns Hopkins Hospital, Baltimore, Md; and the Division of Otolaryngology, Plastic and Reconstructive Surgery, University of New Mexico Health Sciences Center, Albuquerque (Dr Frodel)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Frodel","sequence":"additional","affiliation":[{"name":"From the Department of Otolaryngology\u2013Head and Neck Surgery (Dr Califano) and Department of Dermatology (Dr Miller), Johns Hopkins Hospital, Baltimore, Md; and the Division of Otolaryngology, Plastic and Reconstructive Surgery, University of New Mexico Health Sciences Center, Albuquerque (Dr Frodel)."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[1999,10,1]]},"reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4725.1989.tb03603.x"},{"key":"e_1_3_1_3_2","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1111\/j.1365-4362.1993.tb02739.x","article-title":"Clinical, biochemical, and morphologic features of acne keloidalis in a black population","volume":"32","author":"George AO","year":"1993","unstructured":"George AO, , Akanji AO, , Nduka EU, , Olasode JB, , Odusan O. Clinical, biochemical, and morphologic features of acne keloidalis in a black population. Int J Dermatol. 1993; 32:714-716.","journal-title":"Int J Dermatol"},{"key":"e_1_3_1_4_2","first-page":"759","volume-title":"Fundamentals of Cutaneous Surgery","author":"Bennett RG","year":"1988","unstructured":"Bennett RG. Acne keloidalis. In: Fundamentals of Cutaneous Surgery. St Louis, Mo: Mosby\u2013Year Book Inc; 1988:759-762."},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/0190-9622(95)90242-2"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0190-9622(86)70031-5"},{"key":"e_1_3_1_7_2","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1097\/00006534-197103000-00013","article-title":"Sycosis nuchae and its surgical treatment","volume":"47","author":"Malherbe WD","year":"1971","unstructured":"Malherbe WD. Sycosis nuchae and its surgical treatment. Plast Reconstr Surg. 1971; 47:269-271.","journal-title":"Plast Reconstr Surg"},{"key":"e_1_3_1_8_2","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1001\/archderm.1977.01640030074012","article-title":"Pseudofolliculitis capitis","volume":"113","author":"Smith MJ","year":"1977","unstructured":"Smith MJ, , Odom R. Pseudofolliculitis capitis. Arch Dermatol. 1977; 113:328-329.","journal-title":"Arch Dermatol"}],"container-title":["Archives of Facial Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1001\/archfaci.1.4.308","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1001\/archfaci.1.4.308","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1001\/archfaci.1.4.308","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T09:26:19Z","timestamp":1774430779000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1001\/archfaci.1.4.308"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1999,10,1]]},"references-count":7,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1999,10,1]]}},"alternative-id":["10.1001\/archfaci.1.4.308"],"URL":"https:\/\/doi.org\/10.1001\/archfaci.1.4.308","relation":{},"ISSN":["1521-2491","1538-3660"],"issn-type":[{"value":"1521-2491","type":"print"},{"value":"1538-3660","type":"electronic"}],"subject":[],"published":{"date-parts":[[1999,10,1]]}}}