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Application of Keystone Island Flap in Three Cases of Large Skin Defects

 Hong Sun Jang  ;  Ji Hee Kim  ;  Byung Ho Oh  ;  Mi Ryung Roh  ;  Kee Yang Chung 
 Korean Journal of Dermatology (대한피부과학회지), Vol.51(11) : 916-919, 2013 
Journal Title
 Korean Journal of Dermatology (대한피부과학회지) 
Issue Date
Extremities ; Keystone island flap ; Large skin defect ; Trunk
Skin neoplasms can result in large skin defects after surgical removal. Skin grafting has been used commonly to repair large defects, but it is associated with esthetic and functional problems. Herein, we report three cases with application of the keystone island flap in large skin defects of the trunk and extremities. A 53-year old male with recurred dermatofibrosarcoma protuberans on his thigh was repaired by the keystone island flap after Mohs micrographic surgery, and a 52-year old male with malignant melanoma on his back was successfully reconstructed by the keystone island flap after wide excision. Lastly, a 59-year old male diagnosed with dermatofibrosarcoma protuberans on the inguinal area was closed by the keystone island flap with commendable cosmetic outcome. Due to the ease of performance, excellent cosmetic and functional results, we recommend the keystone island flap for the reconstruction of large skin defects on the trunk and extremities.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Dermatology (피부과학교실) > 1. Journal Papers
Yonsei Authors
Roh, Mi Ryung(노미령) ORCID logo https://orcid.org/0000-0002-6285-2490
Oh, Byung Ho(오병호) ORCID logo https://orcid.org/0000-0001-9575-5665
Chung, Kee Yang(정기양) ORCID logo https://orcid.org/0000-0003-3257-0297
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