The Keystone Perforator Flap Concept – A Useful Tool in the Armamentarium of Plastic Surgery
Closure of skins and soft tissue defects is a mainstream procedure in the field of reconstructive plastic surgery. Nowadays plenty of reconstructive options exists in the armamentarium of the specialty. The “keystone island perforator flap” is a relatively new conception which consists of taking ski...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Yordanov Y. [verfasserIn] Krupev M. [verfasserIn] Shef A. [verfasserIn] Nikolova A. [verfasserIn] |
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Englisch |
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2016 |
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In: Acta Medica Bulgarica - Sciendo, 2015, 43(2016), 2, Seite 32-38 |
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volume:43 ; year:2016 ; number:2 ; pages:32-38 |
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| DOI / URN: |
10.1515/amb-2016-0014 |
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| 520 | |a Closure of skins and soft tissue defects is a mainstream procedure in the field of reconstructive plastic surgery. Nowadays plenty of reconstructive options exists in the armamentarium of the specialty. The “keystone island perforator flap” is a relatively new conception which consists of taking skin and superficial fascia in a keystone pattern adjacent to the defect that needs to be covered. This technique is based on the most contemporary knowledge of the vascularization and three-dimensional vascular architecture of the skin and soft tissue overlying the bones - the so called angiosomes and perforasomes concepts. In the present article a brief review of the main keystone fl ap types and on their predecessor - the Bezier flap, was made. Two clinical cases with difficult defects on the limbs are presented and discussed in order to illustrate the application of that approach. The keystone perforator island flaps is a sophisticated and relatively easy option for defect closure. However, this surgical concept still remains unpopular in the Bulgarian practice and science of plastic surgery. To the best of our knowledge this paper is the first one focused on the topic. | ||
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10.1515/amb-2016-0014 doi (DE-627)DOAJ053982053 (DE-599)DOAJd72fa5c122db413fbe8e37738e219b34 DE-627 ger DE-627 rakwb eng Yordanov Y. verfasserin aut The Keystone Perforator Flap Concept – A Useful Tool in the Armamentarium of Plastic Surgery 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Closure of skins and soft tissue defects is a mainstream procedure in the field of reconstructive plastic surgery. Nowadays plenty of reconstructive options exists in the armamentarium of the specialty. The “keystone island perforator flap” is a relatively new conception which consists of taking skin and superficial fascia in a keystone pattern adjacent to the defect that needs to be covered. This technique is based on the most contemporary knowledge of the vascularization and three-dimensional vascular architecture of the skin and soft tissue overlying the bones - the so called angiosomes and perforasomes concepts. In the present article a brief review of the main keystone fl ap types and on their predecessor - the Bezier flap, was made. Two clinical cases with difficult defects on the limbs are presented and discussed in order to illustrate the application of that approach. The keystone perforator island flaps is a sophisticated and relatively easy option for defect closure. However, this surgical concept still remains unpopular in the Bulgarian practice and science of plastic surgery. To the best of our knowledge this paper is the first one focused on the topic. keystone perforator island flap bezier flap perforasomes local plasty Medicine R Krupev M. verfasserin aut Shef A. verfasserin aut Nikolova A. verfasserin aut In Acta Medica Bulgarica Sciendo, 2015 43(2016), 2, Seite 32-38 (DE-627)DOAJ000088196 27195384 nnns volume:43 year:2016 number:2 pages:32-38 https://doi.org/10.1515/amb-2016-0014 kostenfrei https://doaj.org/article/d72fa5c122db413fbe8e37738e219b34 kostenfrei https://doi.org/10.1515/amb-2016-0014 kostenfrei https://doaj.org/toc/0324-1750 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 43 2016 2 32-38 |
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10.1515/amb-2016-0014 doi (DE-627)DOAJ053982053 (DE-599)DOAJd72fa5c122db413fbe8e37738e219b34 DE-627 ger DE-627 rakwb eng Yordanov Y. verfasserin aut The Keystone Perforator Flap Concept – A Useful Tool in the Armamentarium of Plastic Surgery 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Closure of skins and soft tissue defects is a mainstream procedure in the field of reconstructive plastic surgery. Nowadays plenty of reconstructive options exists in the armamentarium of the specialty. The “keystone island perforator flap” is a relatively new conception which consists of taking skin and superficial fascia in a keystone pattern adjacent to the defect that needs to be covered. This technique is based on the most contemporary knowledge of the vascularization and three-dimensional vascular architecture of the skin and soft tissue overlying the bones - the so called angiosomes and perforasomes concepts. In the present article a brief review of the main keystone fl ap types and on their predecessor - the Bezier flap, was made. Two clinical cases with difficult defects on the limbs are presented and discussed in order to illustrate the application of that approach. The keystone perforator island flaps is a sophisticated and relatively easy option for defect closure. However, this surgical concept still remains unpopular in the Bulgarian practice and science of plastic surgery. To the best of our knowledge this paper is the first one focused on the topic. keystone perforator island flap bezier flap perforasomes local plasty Medicine R Krupev M. verfasserin aut Shef A. verfasserin aut Nikolova A. verfasserin aut In Acta Medica Bulgarica Sciendo, 2015 43(2016), 2, Seite 32-38 (DE-627)DOAJ000088196 27195384 nnns volume:43 year:2016 number:2 pages:32-38 https://doi.org/10.1515/amb-2016-0014 kostenfrei https://doaj.org/article/d72fa5c122db413fbe8e37738e219b34 kostenfrei https://doi.org/10.1515/amb-2016-0014 kostenfrei https://doaj.org/toc/0324-1750 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 43 2016 2 32-38 |
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Closure of skins and soft tissue defects is a mainstream procedure in the field of reconstructive plastic surgery. Nowadays plenty of reconstructive options exists in the armamentarium of the specialty. The “keystone island perforator flap” is a relatively new conception which consists of taking skin and superficial fascia in a keystone pattern adjacent to the defect that needs to be covered. This technique is based on the most contemporary knowledge of the vascularization and three-dimensional vascular architecture of the skin and soft tissue overlying the bones - the so called angiosomes and perforasomes concepts. In the present article a brief review of the main keystone fl ap types and on their predecessor - the Bezier flap, was made. Two clinical cases with difficult defects on the limbs are presented and discussed in order to illustrate the application of that approach. The keystone perforator island flaps is a sophisticated and relatively easy option for defect closure. However, this surgical concept still remains unpopular in the Bulgarian practice and science of plastic surgery. To the best of our knowledge this paper is the first one focused on the topic. |
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Closure of skins and soft tissue defects is a mainstream procedure in the field of reconstructive plastic surgery. Nowadays plenty of reconstructive options exists in the armamentarium of the specialty. The “keystone island perforator flap” is a relatively new conception which consists of taking skin and superficial fascia in a keystone pattern adjacent to the defect that needs to be covered. This technique is based on the most contemporary knowledge of the vascularization and three-dimensional vascular architecture of the skin and soft tissue overlying the bones - the so called angiosomes and perforasomes concepts. In the present article a brief review of the main keystone fl ap types and on their predecessor - the Bezier flap, was made. Two clinical cases with difficult defects on the limbs are presented and discussed in order to illustrate the application of that approach. The keystone perforator island flaps is a sophisticated and relatively easy option for defect closure. However, this surgical concept still remains unpopular in the Bulgarian practice and science of plastic surgery. To the best of our knowledge this paper is the first one focused on the topic. |
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Closure of skins and soft tissue defects is a mainstream procedure in the field of reconstructive plastic surgery. Nowadays plenty of reconstructive options exists in the armamentarium of the specialty. The “keystone island perforator flap” is a relatively new conception which consists of taking skin and superficial fascia in a keystone pattern adjacent to the defect that needs to be covered. This technique is based on the most contemporary knowledge of the vascularization and three-dimensional vascular architecture of the skin and soft tissue overlying the bones - the so called angiosomes and perforasomes concepts. In the present article a brief review of the main keystone fl ap types and on their predecessor - the Bezier flap, was made. Two clinical cases with difficult defects on the limbs are presented and discussed in order to illustrate the application of that approach. The keystone perforator island flaps is a sophisticated and relatively easy option for defect closure. However, this surgical concept still remains unpopular in the Bulgarian practice and science of plastic surgery. To the best of our knowledge this paper is the first one focused on the topic. |
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The Keystone Perforator Flap Concept – A Useful Tool in the Armamentarium of Plastic Surgery |
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