Perforator Flaps after Excision of Large Epidermal Cysts in the Buttocks.
10.5999/aps.2014.41.2.140
- Author:
Sang Wha KIM
1
;
Seong Hyeok YANG
;
Jeong Tae KIM
;
Youn Hwan KIM
Author Information
1. Department of Plastic and Reconstructive Surgery, The Catholic University of Korea College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Epidermal cyst;
Perforator flap;
Surgical flaps
- MeSH:
Arthritis, Rheumatoid;
Buttocks*;
Debridement;
Epidermal Cyst*;
Follow-Up Studies;
Humans;
Necrosis;
Perforator Flap*;
Recurrence;
Spasm;
Surgical Flaps;
Wounds and Injuries
- From:Archives of Plastic Surgery
2014;41(2):140-147
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Epidermal cysts are commonly occurring masses usually less than 5 cm in diameter, but in predisposed patients, epidermal cysts can grow relatively large due to chronic infection. METHODS: From June 2002 to July 2010, 17 patients received 19 regional perforator-based island flaps to cover defects due to the excision of large epidermal cysts (diameter >5 cm) in the buttocks. Eight patients had diabetes, and seven had rheumatoid arthritis. The pedicles were not fully isolated to prevent spasms or twisting. RESULTS: All the flaps survived completely, except for one case with partial necrosis of the flap, which necessitated another perforator-based island flap for coverage. There were two cases of wound dehiscence, which were re-closed after meticulous debridement. There were no recurrences of the masses during follow-up periods of 8.1 months (range, 6-12 months). CONCLUSIONS: In patients with large epidermal cysts and underlying medical disorders, regional perforator-based island flaps can be the solution to coverage of the defects after excision.
