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Keystone‐designed perforator island flaps for reconstruction after chest keloid excision: A retrospective case series
Author(s) -
Huang Jiuzuo,
Dong Ruijia,
Wang Xiaojun,
Yu Nanze,
Zhao Ru,
Bai Ming,
Zhang Hailin,
Wang Yang,
Long Xiao
Publication year - 2021
Publication title -
journal of cosmetic dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.626
H-Index - 44
eISSN - 1473-2165
pISSN - 1473-2130
DOI - 10.1111/jocd.13684
Subject(s) - keloid , medicine , surgery , retrospective cohort study , resection , complication
Objective We retrospectively evaluated the efficacy and safety of keystone‐designed perforator island flaps for chest keloid reconstruction. Methods We reviewed consecutive patients who received keystone flap reconstruction after chest keloid resection between January 2017 and February 2018. The patient demographic data, defect size, flap size, complications, and recurrence were recorded. Results Thirty‐eight patients were evaluated in this retrospective case series. After keloid resection, dimension of wound defects was 5.5‐9.5 cm × 9.5‐12.5 cm, with an average dimension of 7.3 cm × 10.7 cm. The dimension of keystone flaps was between 6‐10 cm × 20‐34.5 cm, with an average dimension of 7.5 cm × 25.5 cm. The flaps healed smoothly without any complication. There was no keloid recurrence with 15 months of follow‐up. 89.4% of the patients had good outcome with no apparent scarring, and 10.6% patients had satisfactory outcome with localized scarring. Conclusions Keystone‐designed perforator island flap is an effective and reliable method for reconstruction following chest keloid resection.