The keystone design perforator island flap. Part I: Anatomic study

Pélissier, P.; Santoul, Max; Pinsolle, V.; Casoli, Vincent; Behan, Felix

doi:10.1016/j.bjps.2007.01.072

Cited by 71 publications

(65 citation statements)

References 18 publications

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“…7,24,25 This may be through a process of tissue creep and stress relaxation. Although the deep fascia is incised in a stepwise approach, a circumferential incision provides the greatest freedom of movement and moderate flap stretch.…”

Section: Key Points Of Flap Harvest Potential Advantagesmentioning

confidence: 99%

Evolving Concepts of Keystone Perforator Island Flaps (KPIF): Principles of Perforator Anatomy, Design Modifications, and Extended Clinical Applications

Mohan

Rammos

Akhavan

et al. 2016

Plastic &Amp; Reconstructive Surgery

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Section: Key Points Of Flap Harvest Potential Advantagesmentioning

confidence: 99%

Evolving Concepts of Keystone Perforator Island Flaps (KPIF): Principles of Perforator Anatomy, Design Modifications, and Extended Clinical Applications

Mohan

Rammos

Akhavan

et al. 2016

Plastic &Amp; Reconstructive Surgery

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“…The tumor was 11 cm×11 cm and the defect after extended excision was 12 cm×12 cm. A key stone flap whose width was equal to the diameter of the defect was designed [5,6]. Incisions were made along the border of the keystone flap to the surface of the muscle and then the border of the flap was undermined (Fig.…”

Section: Case Reportmentioning

confidence: 99%

Keystone Flap for Large Posterior Neck Defect

Sun

2015

Indian J Surg

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“…The keystone flap lends its name from the Roman keystone, a trapezoidal block at apex of an arch, which allows for the distribution of weight. This flap acts analogously, behaving like two separate V‐Y advancement flaps, which reduces tension by dissipating force over a large surface area . Its success relies on the knowledge of random or Doppler‐identified perforating vessels, of which the human body has over 400 .…”

Section: Introductionmentioning

confidence: 99%

Comparison of keystone flaps and skin grafts for oncologic reconstruction: A retrospective review

Darrach

Kokosis

Bridgham

et al. 2019

Journal of Surgical Oncology

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Background and Objectives Two common options for the closure of complex defects are local flaps and skin grafting. The keystone flap, a fasciocutaneous flap based on perforators, has demonstrated compelling ease of use, reproducibility, and low complication rates without requiring a distant donor site. Our objective for this study was to compare postoperative outcomes for keystone flaps and skin grafts in cancer resection. Methods A retrospective review was conducted of patients undergoing keystone flap closure or skin grafting for soft tissue defects resulting from cancer resection at a single institution from June 2017 to June 2018. Patient demographics, operative indications, length of stay, time to heal, and complications were reviewed. Results A total of 34 patients were identified having undergone either keystone reconstruction (n = 16) or skin graft (n = 18) after oncologic resection. Patients undergoing keystone flap reconstruction had significantly shorter mobility restriction and healing times. Length of hospital stay and overall complication rates were not significantly different. Conclusion The keystone flap is an adaptable tool that can safely be used for the coverage of complex defects with faster healing, shorter mobility restriction, and comparable complication rates to skin grafting without the need for a distant donor site.

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The keystone design perforator island flap. Part I: Anatomic study

Cited by 71 publications

References 18 publications

Evolving Concepts of Keystone Perforator Island Flaps (KPIF): Principles of Perforator Anatomy, Design Modifications, and Extended Clinical Applications

Evolving Concepts of Keystone Perforator Island Flaps (KPIF): Principles of Perforator Anatomy, Design Modifications, and Extended Clinical Applications

Keystone Flap for Large Posterior Neck Defect

Comparison of keystone flaps and skin grafts for oncologic reconstruction: A retrospective review

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