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[The keystone design perforator island flap in reconstructive surgery]
Zhonghua Zheng Xing Wai Ke Za Zhi = Zhonghua Zhengxing Waike Zazhi = Chinese Journal of Plastic Surgery
|April 24, 2014
Summary
The keystone design perforator island flap provides a simple and effective method for reconstructing skin defects. This technique achieved successful wound closure in most patients, offering an alternative to complex procedures.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Dermatology
Context:
- Skin defects present a significant reconstructive challenge.
- Traditional methods may involve complex flap surgery or skin grafting.
- The keystone design perforator island flap offers a novel approach.
Purpose:
- To present the clinical experience with the keystone design perforator island flap for skin defect reconstruction.
- To evaluate the efficacy and outcomes of this flap technique.
Summary:
- The keystone design perforator island flap, characterized by its trapezoidal shape and V-Y advancement components, was utilized in 14 patients.
- Defect sizes ranged from 1x1 cm to 5x9 cm across extremities, trunk, and facial regions.
- Vascular supply is derived from subcutaneous networks and fascial/muscular perforators, with Doppler guidance for larger flaps.
Impact:
- Achieved primary wound healing and satisfactory results in 13 out of 14 patients.
- Demonstrates a simple and effective alternative for wound closure.
- Reduces the need for more complex reconstructive techniques or skin grafts.
