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2023, Number 3

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Dermatología Cosmética, Médica y Quirúrgica 2023; 21 (3)

Roman arch flap or keystone design perforator island flap

Torres-Delgadillo R, Soto-Ortiz JA
Full text How to cite this article

Language: Spanish
References: 10
Page: 213-216
PDF size: 257.15 Kb.


Key words:

Roman arch flap, fasciocutaneous pedicle flap, trunk and extremity reconstruction.

ABSTRACT

Keystone flap is an island advancement flap whose pedicle is based on the fasciomuscular perforating arterioles. It is preferred for trunk and extremity defects although it can be used in other topographies. There are four varieties whose usefulness depends on the amount of tissue available for mobilization. It is a flap with few serious complications. We present eight cases of basal cell and squamous cell carcinoma resolved with this technique, with good functional and cosmetic results.


REFERENCES

  1. Ettinger KS, Fernandes RP y Arce K, Keystone flap, Atlas OralMaxillofac Surg Clin North Am 2020; 28(1):29-42.

  2. Lim SY, Yoon CS, Lee HG y Kim KN, Keystone design perforatorisland flap in facial defect reconstruction, World J Clin Cases2020; 8(10):1832-47.

  3. Srivastav S, Gupta S y Sharma A, Keystone flap as a reconstructiveoption for selected areas: a prospective study, J Clin OrthopTrauma 2020; 11(Suppl 5): S871-5.

  4. Loh IW, Rozen WM, Behan FC y Crock J, Eyelid reconstruction:expanding the applications of the keystone perforator island flapconcept, anz J Surg 2012; 82:763-4.

  5. Behan FC, Lo CH, Sizeland A, Pham T y Findlay M, Keystone islandflap reconstruction of parotid defects, Plast Reconstr Surg2012; 130:36-41.

  6. Behan FC, Rozen WM, Azer S y Grant P, “Perineal keystone designperforator island flap” for perineal and vulval reconstruction,ANZ J Surg 2012; 82: 381-2.

  7. Jamjoom H, Alnoman H y Almadani Y, Closure of a large thoracolumbarmyelomeningocele using a modified bilateral keystoneflap, Plast Reconstr Surg Glob Open 2016; 4: E1114.

  8. Behan FC, The keystone design perforator island flap in reconstructivesurgery, anz J Surg 2003; 73(3):112-20.

  9. Rini IS, Gunardi AJ, Marsaulina RP, Aryandono T, Dachlan I yDwiprahasto I, A systematic review of the keystone design perforatorisland flap in the reconstruction of trunk defects, ArchPlast Surg 2020; 47(6):535-41.

  10. Aragón-Miguel R, Gutiérrez-Pascual M, Sánchez-Gilo A, Sanz-Bueno J y Vicente-Martin FJ, The keystone flap in dermatology:clinical experience with 18 patients, Actas Dermosifiliogr (Engled.) 2018; 109(6):515-20.




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C?MO CITAR (Vancouver)

Dermatología Cosmética, Médica y Quirúrgica. 2023;21