Paraumbilical Perforator-Based Remote V-Shaped Flap with Postoperative Radiotherapy for Umbilical Reconstruction...

Area of Science:

• Plastic Surgery
• Reconstructive Surgery
• Dermatology

Background:

• Umbilical keloid treatment and reconstruction methods are not well-established.
• Significant skin defects after umbilical keloid resection limit reconstruction options.

Purpose of the Study:

• To present an innovative technique for umbilical reconstruction following keloid excision, particularly for cases with substantial skin defects.

Main Methods:

• A V-shaped skin flap and a subcutaneous fat pedicle flap were utilized for reconstruction after keloid excision.
• The flaps were tunneled to the umbilical site and shaped to form a new umbilicus.
• Postoperative radiotherapy (15 Gy) was administered to prevent recurrence.

Main Results:

• Both patients maintained a vertically shaped umbilicus without keloid recurrence over one year post-surgery.
• Patient satisfaction with the aesthetic and functional outcomes was high.

Conclusions:

• This novel V-shaped flap technique provides an effective reconstructive option for umbilical keloids with significant skin defects.
• The method demonstrates promising results in maintaining aesthetic form and preventing recurrence.