The modified keystone perforator island flap for reconstruction of skin defects at head and face
10.3760/cma.j.issn.1009-4598.2016.03.006
- VernacularTitle:改良拱顶石穿支岛状皮瓣修复头面部皮肤软组织缺损
- Author:
Zhongshan LIU
1
,
2
;
Tianlan ZHAO
;
Zhixu HE
;
Daojiang YU
;
Ning LIU
;
Xiangjun CHEN
;
Xiaoqun MO
Author Information
1. 215004 苏州大学附属第二医院整形美容外科
2. 贵州医科大学附属医院
- Keywords:
Surgical flap;
Head;
Face;
Reconstructive sugical procedures
- From:
Chinese Journal of Plastic Surgery
2016;32(3):183-185
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical application of the modified keystone perforator island flap for reconstruction of skin defects at head and face.Methods From January 2013 to September 2014,13 cases with skin defects at head and face were repaired by modified keystone perforator island flap.The skin defects ranged from 0.8 cm× 1.0 cm to 20.0 cm × 10.0 cm.And the flap size ranged from 1.5 cm × 1.0 cm to 22.0 cm × 12.0 cm.The flap was designed along the edge of the defect,the vascular supply was supported by muscular perforators.In order to relieve suture tension and have a good cosmetic effect,auxiliary incisions should be as less as possible.Flap should be designed to hide parts of facial incision or surgical margins within the natural borders of each facial unit,or along the direction of striae.Incision within the hairline should be taken to minimize damage to the hair follicles.The direction of hair growth shouldn't be changed after the flap transfer.Results All cases had 1-12 months' follow-up period.12 flaps survived completely,with one partial flap necrosis.The flaps had good appearance with high aesthetic satisfactory.Conclusions The modified keystone perforator island flap produces excellent aesthetic results.It can be a very useful flap for tbe individual reconstruction of skin defects at head and face.
