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The Keystone Perforator Island Flap in Nasal Reconstruction: An Alternative Reconstructive Option for Soft Tissue
Epameinondas Kostopoulos1, Vincent Casoli, Christos Agiannidis
1*Department of Plastic Surgery, A. Syggros Hospital, National and Kapodestrian University of Athens Medical School, Athens, Greece †Plastic and Burn Surgery Department, Francois-Xavier Michelet Center, Centre Hospitalier Universitaire, Bordeaux 2 University, Bordeaux, France ‡Department of Plastic Surgery, University of Tennessee Health Science Center, Memphis, TN.
Abstract:
The aim of this study was to present our experience with the use of the Keystone Perforator Island Flap (KPIF) in a case series of patients with small size (diameter ≤ 2 cm) nasal defects which will be useful prospectively to assist plastic surgeons in planning a reconstructive strategy that will work. The KPIF was utilized in 30 patients with nasal defects post tumor extirpation. More than one type of KPIF (type I or type III) was used following the nasal subunit principle or a modified version of it. The mean follow-up period was 10.5 months. Overall good outcomes were achieved, with no major complications encountered, except minor wound dehiscence in 3 cases. It is the first time that the utilization of this flap is reported in nasal reconstruction. The versatility of the KPIF makes it a safe technique even in the hands of inexperienced surgeons under guidance for nasal defects up to 2 cm in diameter.
