Application of Delayed Keystone Flap in Management of Post-Electrical Burn Squamous Cell Carcinoma

Authors

  • Ravi K. Chittoria Department of Plastic Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry 605006, India
  • Marenika Manisekaran Department of Plastic Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry 605006, India
  • Chakiath Department of Plastic Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry 605006, India

DOI:

https://doi.org/10.17140/DRMTOJ-7-149

Keywords:

Delayed keystone flap, Squamous cell carcinoma, Electrical burn

Abstract

The aim of the study is the application of delayed Keystone flap in the management of post-electrical burn squamous cell
carcinoma.
Materials and Methods
In our study, a delayed staged type 3 keystone flap was performed as first stage procedure.
Result
In our study, by doing a delayed staged type 3 keystone flap we were able to successfully reduce the size of the defect by 40%
without necrosis of the inset flap.
Conclusion
Delaying of the flap is a useful method when the vascularity of the keystone flap is doubtful especially in the case of post electrical
burn.

References

Kopp J, Loos B, Spilker G, Horch RE. Correlation between serum creatinine kinase levels and extent of muscle damage in electrical burns. Burns. 2004; 30: 680-683. doi: 10.1016/j.burns.2004.05.008

Turegun M, Nisanci M, Guler M. Burn scar carcinoma with lon-ger lag period arising in previously grafted area. Burns. 1997; 23: 496-497. doi: 10.1016/s0305-4179(97)00041-7

Stekelenburg CM, Marck RE, Tuinebreijer WE, de Vet HC, Oga-wa R, van Zuijlen PP. A systematic review on burn scar contracture treatment: Searching for evidence. J Burn Care Res. 2015; 36: e153- Submit your article to this journal | https://openventio.org/submit-manuscript/ Case Study | Volume 7 | Number 1 | Chittoria RK, et al PUBLISHERS e161. doi: 10.1097/BCR.0000000000000106

Behan FC. The keystone design perforator island flap in re-constructive surgery. ANZ J Surg. 2003; 73: 112-120. doi: 10.1046/j.1445-2197.2003.02638.x

Mohan AT, Rammos CK, Akhavan AA, et al. Evolving concepts of keystone perforator island flaps (KPIF): Principles of perfo-rator anatomy, design modifications, and extended clinical appli-cations. Plast Reconstr Surg. 2016; 137: 1909-1920. doi: 10.1097/ PRS.0000000000002228

Pelissier P, Santoul M, Pinsolle V, Casoli V, Behan F. The keystone design perforator island flap. Part I: Anatomic study. J Plast Reconstr Aesthet Surg. 2007; 60: 883-887. doi: 10.1016/j.bjps.2007.01.072

Pelissier P, Gardet H, Pinsolle V, Santoul M, Behan FC. The keystone design perforator island flap. Part II: Clinical applica-tions. J Plast Reconstr Aesthet Surg. 2007; 60: 888-891. doi: 10.1016/j. bjps.2007.03.023

Downloads

Published

2022-08-11

How to Cite

Ravi K. Chittoria, Marenika Manisekaran, & Chakiath. (2022). Application of Delayed Keystone Flap in Management of Post-Electrical Burn Squamous Cell Carcinoma. Dermatology, 7(1), 9–11. https://doi.org/10.17140/DRMTOJ-7-149

Issue

Vol. 7 No. 1 (2022): Volume 7 Issue 1 2022

Section

Articles

License

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

All content published in Dermatology (DER) is licensed under the Creative Commons Attribution 4.0 International License (CC BY 4.0). This license allows anyone to copy, distribute, transmit, and adapt the work — including for commercial purposes — provided appropriate credit is given to the original author(s) and source.