Excellent Closure of Postauricular Defect Using Type-1 Keystone Perforator Island Flap: An Alternative Facial Reconstruction Technique
DOI:
https://doi.org/10.3889/oamjms.2023.11355Keywords:
Keystone, Advancement, Flap, Postauricular, DefectAbstract
The use of local flaps is a common and effective method for reconstructing various post-surgical defects. Some advantages of local flaps compared to other methods such as skin grafts are the relatively high success rate and lower complication rates such as infections and wound dehiscence. There are various methods of flaps available and choosing the proper method is based on various factors such as the size of the defect, anatomical location of the defect, and operator capabilities. Therefore, an effective but simple local flap method with a high success rate is needed especially when dealing with defects located on prominent cosmetic areas such as the face. We report the successful use of the keystone perforator island flap for closure of a facial defect caused by basal cell carcinoma removal in a 76-year-old female patient. Although not commonly used for facial reconstruction, this paper reports successful use of this relatively simple and effective method prompting the potential for increased usage in treating small-moderate sized defects on the face.
Downloads
Metrics
Plum Analytics Artifact Widget Block
References
Tang JY, Epstein JE, Oro AE. Basal cell carcinoma and basal cell nevus syndrome. In: Kang S, Amagai M, Bruckner AL, Enk AH, Margolis DJ, McMichael AJ, et al, editors. Fitzpatrick’s Dermatology. 9th ed. New York: McGrawHill; 2019.
Sayer H, Rigel D, McMeniman EA. Keratosis, basal cell carcinoma, and squamous cell carcinoma. In: Bolognia JL, Schaffer JV, Cerroni L, editors. Dermatology. 4th ed. New York: Elsevier; 2018.
McDaniel B, Badri T, Steele R. Basal Cell Carcinoma. Treasure Island, FL: StatPearls Publishing; 2021.
James W, Elston D, Treat J, Rosenbach M, Neuhaus I. Andrew’s Diseases of the Skin. 13th ed. New York: Elsevier; 2020.
Haimovic A, Sheehan JM, Rohrer TE. Excisional surgery and repair, flaps, and grafts. In: Kang S, Amagai M, Bruckner AL, Enk AH, Margolis DJ, McMichael AJ, et al, editors. Fitzpatrick’s Dermatology. 9th ed. New York: McGrawHill; 2019. p. 3726-60.
Brodland DF. In: Bolognia JL, Schaffer JV, Cerroni L, editors. Dermatology. New York: Elsevier; 2018.
Jovic TH, Jessop ZM, Slade R, Dobbs T, Whitaker IS. The use of keystone flaps in periarticular wound closure: A case series. Front Surg. 2017;4:68. https://doi.org/10.3389/fsurg.2017.00068 PMid:29238710 DOI: https://doi.org/10.3389/fsurg.2017.00068
Lim SY, Yoon CS, Lee HG, Kim KN. Keystone design perforator island flap in facial defect reconstruction. World J Clin Cases. 2020;8:1832-47. https://doi.org/10.12998/wjcc.v8.i10.1832 PMid:32518773 DOI: https://doi.org/10.12998/wjcc.v8.i10.1832
Riccio CA, Chang J, Henderson JT, Hassouba M, Ashfaq F, Kostopoulos E, et al. Keystone flaps: Physiology, types, and clinical applications. Ann Plast Surg. 2019;83(2):226-31. https://doi.org/10.1097/SAP.0000000000001854 PMid:31135505 DOI: https://doi.org/10.1097/SAP.0000000000001854
Howell JY, Ramsey ML. Squamous Cell Skin Cancer. Treasure Island, FL: StatPearls Publishing; 2022.
Rini IS, Gunardi AJ, Marsaulina RP, Aryandono T, Dachlan I, Dwiprahasto I. A systematic review of the keystone design perforator island flap in the reconstruction of trunk defects. Arch Plast Surg. 2020;47(6):535-41. https://doi.org/10.5999/aps.2020.00094 PMid:33238340 DOI: https://doi.org/10.5999/aps.2020.00094
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2023 Farah Eryanda, Anis Irawan Anwar, Khairuddin Djawad, Airin Nurdin, Siswanto Wahab, Idrianti Idrus (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
http://creativecommons.org/licenses/by-nc/4.0
