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Related Concept Videos

Flail Chest-II01:26

Flail Chest-II

221
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
221

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Related Experiment Video

Updated: Aug 16, 2025

A Pre-clinical Rat Model for the Study of Ischemia-reperfusion Injury in Reconstructive Microsurgery
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Keystone Island Flap for Reconstructive Surgery-A Novel Approach.

Sowmya S Aithal1, Eswari Loganathan1, Rachana Shekar1

  • 1Department of Dermatology and Venereology, Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India.

Journal of Cutaneous and Aesthetic Surgery
|December 23, 2022
PubMed
Summary

Keystone island flaps offer a versatile solution for closing skin tumor defects. This technique provided excellent aesthetic and functional results in a patient with Bowen

Keywords:
Bowen’s diseasekeystone island flapreconstructive surgery

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Area of Science:

  • Plastic Surgery
  • Dermatologic Surgery
  • Reconstructive Surgery

Background:

  • Keystone island flaps are increasingly utilized in reconstructive surgery.
  • These flaps are based on fasciocutaneous perforators and are trapezoidal in shape.
  • They are effective for closing defects after skin tumor excision.

Observation:

  • A case study involving a 79-year-old male patient is presented.
  • The patient underwent reconstruction using a keystone island flap.
  • This was performed after the surgical excision of biopsy-proven Bowen's disease.

Findings:

  • The keystone island flap procedure resulted in a favorable outcome.
  • Both aesthetic and functional results were deemed good.
  • This highlights the flap's efficacy in specific oncologic reconstructions.

Implications:

  • The keystone island flap is a valuable technique for complex defect closure.
  • Individualized defect closure is crucial for optimal cosmetic results in reconstructive surgery.
  • This case supports the expanding applications of keystone island flaps in achieving good cosmesis.