V-Y Hemi-keystone Advancement Flap: A Novel and Simplified Reconstructive Modification.

ABSTRACT:

Background

The keystone perforator flap design has been gaining popularity for reconstruction of cutaneous defects due to its robust vascular supply and high rates of flap survival. However, the design requires significant tissue mobilization relative to the defect and is consequently technically demanding, time intensive, and has associated morbidity. We present a novel, simplified modification of the keystone flap that may increase its reconstructive applications.

Methods

A retrospective chart review was conducted of patients who underwent V-Y hemi-keystone advancement flap reconstruction of cutaneous defects by a single surgeon. Outcomes of interest included wound healing complications.

Results

Eighty-six consecutive V-Y hemi-keystone advancement flaps were perform

SUBMITTER: Petukhova TA 

PROVIDER: S-EPMC7159958 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature