Perforator Flaps after Excision of Large Epidermal Cysts in the Buttocks
Background Epidermal cysts are commonly occurring masses usually less than 5 cm in diameter, but in predisposed patients, epidermal cysts can grow relatively large due to chronic infection. Methods From June 2002 to July 2010, 17 patients received 19 regional perforator-based island fla...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2014-03-01
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| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2014.41.2.140 |
| _version_ | 1817994936731041792 |
|---|---|
| author | Sang Wha Kim Seong Hyeok Yang Jeong Tae Kim Youn Hwan Kim |
| author_facet | Sang Wha Kim Seong Hyeok Yang Jeong Tae Kim Youn Hwan Kim |
| author_sort | Sang Wha Kim |
| collection | DOAJ |
| description | Background Epidermal cysts are commonly occurring masses usually less than 5 cm in diameter, but in predisposed patients, epidermal cysts can grow relatively large due to chronic infection.
Methods From June 2002 to July 2010, 17 patients received 19 regional perforator-based island flaps to cover defects due to the excision of large epidermal cysts (diameter >5 cm) in the buttocks. Eight patients had diabetes, and seven had rheumatoid arthritis. The pedicles were not fully isolated to prevent spasms or twisting.
Results All the flaps survived completely, except for one case with partial necrosis of the flap, which necessitated another perforator-based island flap for coverage. There were two cases of wound dehiscence, which were re-closed after meticulous debridement. There were no recurrences of the masses during follow-up periods of 8.1 months (range, 6-12 months).
Conclusions In patients with large epidermal cysts and underlying medical disorders, regional perforator-based island flaps can be the solution to coverage of the defects after excision. |
| first_indexed | 2024-04-14T01:58:35Z |
| format | Article |
| id | doaj.art-01dca5e64f6a4656b8a51b7420cc19c7 |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-14T01:58:35Z |
| publishDate | 2014-03-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-01dca5e64f6a4656b8a51b7420cc19c72022-12-22T02:18:54ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712014-03-01410214014710.5999/aps.2014.41.2.140315Perforator Flaps after Excision of Large Epidermal Cysts in the ButtocksSang Wha Kim0Seong Hyeok Yang1Jeong Tae Kim2Youn Hwan Kim31Department of Plastic and Reconstructive Surgery, The Catholic University of Korea College of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Hanyang University College of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Hanyang University College of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Hanyang University College of Medicine, Seoul, KoreaBackground Epidermal cysts are commonly occurring masses usually less than 5 cm in diameter, but in predisposed patients, epidermal cysts can grow relatively large due to chronic infection. Methods From June 2002 to July 2010, 17 patients received 19 regional perforator-based island flaps to cover defects due to the excision of large epidermal cysts (diameter >5 cm) in the buttocks. Eight patients had diabetes, and seven had rheumatoid arthritis. The pedicles were not fully isolated to prevent spasms or twisting. Results All the flaps survived completely, except for one case with partial necrosis of the flap, which necessitated another perforator-based island flap for coverage. There were two cases of wound dehiscence, which were re-closed after meticulous debridement. There were no recurrences of the masses during follow-up periods of 8.1 months (range, 6-12 months). Conclusions In patients with large epidermal cysts and underlying medical disorders, regional perforator-based island flaps can be the solution to coverage of the defects after excision.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2014.41.2.140epidermal cystperforator flapsurgical flaps |
| spellingShingle | Sang Wha Kim Seong Hyeok Yang Jeong Tae Kim Youn Hwan Kim Perforator Flaps after Excision of Large Epidermal Cysts in the Buttocks Archives of Plastic Surgery epidermal cyst perforator flap surgical flaps |
| title | Perforator Flaps after Excision of Large Epidermal Cysts in the Buttocks |
| title_full | Perforator Flaps after Excision of Large Epidermal Cysts in the Buttocks |
| title_fullStr | Perforator Flaps after Excision of Large Epidermal Cysts in the Buttocks |
| title_full_unstemmed | Perforator Flaps after Excision of Large Epidermal Cysts in the Buttocks |
| title_short | Perforator Flaps after Excision of Large Epidermal Cysts in the Buttocks |
| title_sort | perforator flaps after excision of large epidermal cysts in the buttocks |
| topic | epidermal cyst perforator flap surgical flaps |
| url | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2014.41.2.140 |
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