Journal article
Evolving Concepts of Keystone Perforator Island Flaps (KPIF): Principles of Perforator Anatomy, Design Modifications, and Extended Clinical Applications
AT Mohan, CK Rammos, AA Akhavan, J Martinez, PS Wu, SL Moran, FH Sim, F Behan, S Mardini, M Saint-Cyr
Plastic and Reconstructive Surgery | Published : 2016
Abstract
Background: Keystone flaps have demonstrated growing clinical applications in reconstructive surgery in the past decade. This article highlights flap modifications and their versatility for clinical applications and management of complex defects. Methods: A retrospective chart review was conducted of consecutive patients undergoing keystone flap reconstruction at the authors' institution from January of 2012 to December of 2014. Patient demographics, indications, and operative and postoperative details were abstracted. Results: Forty-two keystone flaps were performed in 36 patients. Indications included malignant melanoma (n = 14), soft-tissue sarcoma (n = 12), benign pathologic conditions (..
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Funding Acknowledgements
Anita T. Mohan, M.R.C.S., M.B.B.S., received the Blond Research Fellowship, Royal College of Surgeons of England, for support for her research fellowship position at the Mayo Clinic. Hannah Miller; B.S., medical student of the University of Wisconsin, is acknowledged for her contribution to the study. Rita Hardiman, Ph.D., Lecturer in Orofacial and Head & Neck Anatomy, Melbourne Dental School at the University of Melbourne, is acknowledged for her contributions to the representation and figures to demonstrate dermatome distribution in clinical cases presented.