Modified Keystone Perforator Island Flap for Tension-Reducing Coverage of Axillary Defects Secondary to Radical Excision of Chronic Inflammatory Skin Lesions: A Retrospective Case Series.

Axillary defect coverage is often challenging after radical excision of chronic inflammatory skin lesions, such as complicated epidermoid cysts and hidradenitis suppurativa. This retrospective case series aims to demonstrate our experience with axillary reconstruction using the modified keystone per...

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Publicado en:BioMed Research International Vol. 2022; pp. 1 - 11
Autores principales: Kim, Keun Hyung, Yoo, Byung Woo, Lim, Soo Yeon, Oh, Kap Sung, Kim, Junekyu, Shin, Hyun Woo, Kim, Kyu Nam
Formato: algorithm case study pictorial research tables/charts Journal Article
Publicado: Wiley-Blackwell 9/29/2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 9/29/2022
      vid: 2022
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2022/5600450
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        atl: Modified Keystone Perforator Island Flap for Tension-Reducing Coverage of Axillary Defects Secondary to Radical Excision of Chronic Inflammatory Skin Lesions: A Retrospective Case Series.
      aug:
        au:
          Kim, Keun Hyung
          Yoo, Byung Woo
          Lim, Soo Yeon
          Oh, Kap Sung
          Kim, Junekyu
          Shin, Hyun Woo
          Kim, Kyu Nam
        affil: Department of Plastic and Reconstructive Surgery, Konyang University Hospital, University of Konyang, College of Medicine, Myunggok Medical Research Center, 685 Gasuwon-dong seo-gu, Daejeon 35365, Republic of Korea
      sug:
        subj:
          Chronic Disease Surgery
          Dermatitis, Atopic Surgery
          Axilla Surgery
          Surgery, Reconstructive Methods
          Human
          Retrospective Design
          Case Studies
          Descriptive Statistics
          Data Analysis Software
          Male
          Adolescence
          Young Adult
          Adult
          Middle Age
          Aged
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
      ab: Axillary defect coverage is often challenging after radical excision of chronic inflammatory skin lesions, such as complicated epidermoid cysts and hidradenitis suppurativa. This retrospective case series aims to demonstrate our experience with axillary reconstruction using the modified keystone perforator island flap (KPIF) technique, emphasizing its tension-reducing effects. All patients who presented for axillary reconstruction after radical excision of chronic inflammatory skin lesions between May 2019 and December 2020 were identified using the medical record database. Eleven patients ranging in age from 17 to 71 years underwent modified KPIF axillary reconstruction. Four types of modifications (modified type II KPIF, omega variation closure, Sydney melanoma unit modification, and hemi-KPIF) were used. All defects (size range, 2.5 × 3 c m 2 to 8 × 13 c m 2 ) were successfully covered using these modified KPIF techniques. All flaps (size range, 3.5 × 3.5 c m 2 to 11 × 30 c m 2 ) fully survived without complications. All patients exhibited favorable functional outcomes, and no cases of recurrence or limitations in joint range of motion were observed during the follow-up period (range, 4–5 months). Modified KPIF techniques may represent a reliable, effective alternative reconstructive modality for managing axillary defects.
      pubtype: Academic Journal
      doctype:
        algorithm
        case study
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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