HOW WE DO IT: the Keystone flap for large skin defects: our experience with 30 consecutive cases.
Keystone flap
reconstructive method
skin cancer
skin defect
Journal
Acta chirurgica Belgica
ISSN: 0001-5458
Titre abrégé: Acta Chir Belg
Pays: England
ID NLM: 0370571
Informations de publication
Date de publication:
Aug 2022
Aug 2022
Historique:
pubmed:
29
5
2022
medline:
29
7
2022
entrez:
28
5
2022
Statut:
ppublish
Résumé
The keystone perforator-based fasciocutaneous island flap is a method of locoregional skin defect reconstruction, consisting of two conjoined V to Y advancement flaps. In this article, we report a series of 30 consecutive cases in various body parts with the aim to demonstrate the versatility of the keystone flap in the reconstruction of various skin defects after removal of a suspected malignant skin lesion and evaluate our clinical experience while maintaining oncological safety and good aesthetic results. Patients who underwent keystone flap reconstruction between January 2016 and January 2021 were retrospectively reviewed. Their demographics, operative details, oncological data and postoperative details were obtained from the institution's internal electronic patient records system. The majority of the skin defects were the result of an oncologic resection (97%, In our experience, the keystone island flap is an effective and reliable technique to attain a single stage tension-free closure of large skin defects. Due to its low technical complexity and high success rate, we consider it a feasible alternative to other reconstructive flaps and grafts for direct closure of secondary defects.
Sections du résumé
BACKGROUND
UNASSIGNED
The keystone perforator-based fasciocutaneous island flap is a method of locoregional skin defect reconstruction, consisting of two conjoined V to Y advancement flaps. In this article, we report a series of 30 consecutive cases in various body parts with the aim to demonstrate the versatility of the keystone flap in the reconstruction of various skin defects after removal of a suspected malignant skin lesion and evaluate our clinical experience while maintaining oncological safety and good aesthetic results.
METHODS
UNASSIGNED
Patients who underwent keystone flap reconstruction between January 2016 and January 2021 were retrospectively reviewed. Their demographics, operative details, oncological data and postoperative details were obtained from the institution's internal electronic patient records system.
RESULTS
UNASSIGNED
The majority of the skin defects were the result of an oncologic resection (97%,
CONCLUSION
UNASSIGNED
In our experience, the keystone island flap is an effective and reliable technique to attain a single stage tension-free closure of large skin defects. Due to its low technical complexity and high success rate, we consider it a feasible alternative to other reconstructive flaps and grafts for direct closure of secondary defects.
Identifiants
pubmed: 35633057
doi: 10.1080/00015458.2022.2083350
pii: 10.1080/00015458.2022.2083350
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM