TY - JOUR
T1 - The keystone perforator island flap in nasal reconstruction
T2 - An alternative reconstructive option for soft tissue defects up to 2 cm
AU - Kostopoulos, Epameinondas
AU - Casoli, Vincent
AU - Agiannidis, Christos
AU - Konofaos, Petros
AU - Drimouras, Georgios
AU - Dounavis, Avraam
AU - Champsas, Grigorios
AU - Frangoulis, Marios
AU - Papadopoulos, Othon
N1 - Publisher Copyright:
Copyright © 2015 by Mutaz B. Habal, MD.
PY - 2015/6/1
Y1 - 2015/6/1
N2 - The aim of this study was to present our experience with the use of the Keystone Perforator Island Flap (KPIF) in a case series of patients with small size (diameter ≤2 cm) nasal defects which will be useful prospectively to assist plastic surgeons in planning a reconstructive strategy that will work. The KPIF was utilized in 30 patients with nasal defects post tumor extirpation. More than one type of KPIF (type I or type III) was used following the nasal subunit principle or a modified version of it. The mean follow-up period was 10.5 months. Overall good outcomes were achieved, with no major complications encountered, except minor wound dehiscence in 3 cases. It is the first time that the utilization of this flap is reported in nasal reconstruction. The versatility of the KPIF makes it a safe technique even in the hands of inexperienced surgeons under guidance for nasal defects up to 2 cm in diameter.
AB - The aim of this study was to present our experience with the use of the Keystone Perforator Island Flap (KPIF) in a case series of patients with small size (diameter ≤2 cm) nasal defects which will be useful prospectively to assist plastic surgeons in planning a reconstructive strategy that will work. The KPIF was utilized in 30 patients with nasal defects post tumor extirpation. More than one type of KPIF (type I or type III) was used following the nasal subunit principle or a modified version of it. The mean follow-up period was 10.5 months. Overall good outcomes were achieved, with no major complications encountered, except minor wound dehiscence in 3 cases. It is the first time that the utilization of this flap is reported in nasal reconstruction. The versatility of the KPIF makes it a safe technique even in the hands of inexperienced surgeons under guidance for nasal defects up to 2 cm in diameter.
KW - Basal cell carcinoma
KW - Keystone
KW - Nasal reconstruction
KW - Nasal subunit
KW - Perforator flap
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U2 - 10.1097/SCS.0000000000001746
DO - 10.1097/SCS.0000000000001746
M3 - Article
C2 - 26080200
AN - SCOPUS:84986626475
SN - 1049-2275
VL - 26
SP - 1374
EP - 1377
JO - Journal of Craniofacial Surgery
JF - Journal of Craniofacial Surgery
IS - 4
ER -