Large chest keloids treatment with expanded parasternal intercostal perforator flap
Abstract Background Chest keloids often converged into a large lesion on the chest in some patients. Such keloids often lead to obstacle to excision and reconstruction. We describe a surgical method for large chest keloids with expanded parasternal intercostal perforator flap (EPIPF). Methods Fiftee...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-03-01
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| Series: | BMC Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12893-021-01116-3 |
| _version_ | 1819119823739682816 |
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| author | Hao Liu Fuqiang Sui Shu Liu Kexin Song Yan Hao Youbin Wang |
| author_facet | Hao Liu Fuqiang Sui Shu Liu Kexin Song Yan Hao Youbin Wang |
| author_sort | Hao Liu |
| collection | DOAJ |
| description | Abstract Background Chest keloids often converged into a large lesion on the chest in some patients. Such keloids often lead to obstacle to excision and reconstruction. We describe a surgical method for large chest keloids with expanded parasternal intercostal perforator flap (EPIPF). Methods Fifteen patients with chest keloid were treated with EPIPF in our department between August 2017 and Dec 2019. The surgical treatment was divided into two different phases. In the first phase, we implanted skin expanders into the layer under the deep fascia beside the keloids. The expander was expanded every week for about 3–4 months. In the second phase, the expander was removed, the keloid tissue was removed and an expanded perforator flap was then designed to cover the wound. Patients were followed-up after surgery. Complications after surgery were analyzed. Recurrence and the patients, satisfactory rate was recorded. Results Of the 15 patients, one patient complicated with undesirable small area wound healing. 11 were cured without scar hypertrophy or recurrence and four were partially cured with a small portion of scar hypertrophy. Eleven patients thought that the esthetic result was good (73.7%), and 4 patients thought the result was acceptable (26.7%). None patient was dissatisfied. Conclusion EPIPF are effective surgical method for managing large chest keloids. It can offer enough skin flap coverage for keloid wound resurfacing with stable blood supply to assure satisfactory results. Level of evidence Level IV, case series. |
| first_indexed | 2024-12-22T06:10:54Z |
| format | Article |
| id | doaj.art-1590e72f88e14b4c952b49bf8fb6bc52 |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-12-22T06:10:54Z |
| publishDate | 2021-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-1590e72f88e14b4c952b49bf8fb6bc522022-12-21T18:36:13ZengBMCBMC Surgery1471-24822021-03-012111510.1186/s12893-021-01116-3Large chest keloids treatment with expanded parasternal intercostal perforator flapHao Liu0Fuqiang Sui1Shu Liu2Kexin Song3Yan Hao4Youbin Wang5Department of Plastic Surgery, Peking Union Medical College HospitalDepartment of Burn and Plastic Surgery, 969 Hospital Associated With Logistic Support Forces of the Chinese People’s Liberation ArmyDepartment of General Surgery, Civil Aviation General HospitalDepartment of Plastic Surgery, Peking Union Medical College HospitalDepartment of Plastic Surgery, Peking Union Medical College HospitalDepartment of Plastic Surgery, Peking Union Medical College HospitalAbstract Background Chest keloids often converged into a large lesion on the chest in some patients. Such keloids often lead to obstacle to excision and reconstruction. We describe a surgical method for large chest keloids with expanded parasternal intercostal perforator flap (EPIPF). Methods Fifteen patients with chest keloid were treated with EPIPF in our department between August 2017 and Dec 2019. The surgical treatment was divided into two different phases. In the first phase, we implanted skin expanders into the layer under the deep fascia beside the keloids. The expander was expanded every week for about 3–4 months. In the second phase, the expander was removed, the keloid tissue was removed and an expanded perforator flap was then designed to cover the wound. Patients were followed-up after surgery. Complications after surgery were analyzed. Recurrence and the patients, satisfactory rate was recorded. Results Of the 15 patients, one patient complicated with undesirable small area wound healing. 11 were cured without scar hypertrophy or recurrence and four were partially cured with a small portion of scar hypertrophy. Eleven patients thought that the esthetic result was good (73.7%), and 4 patients thought the result was acceptable (26.7%). None patient was dissatisfied. Conclusion EPIPF are effective surgical method for managing large chest keloids. It can offer enough skin flap coverage for keloid wound resurfacing with stable blood supply to assure satisfactory results. Level of evidence Level IV, case series.https://doi.org/10.1186/s12893-021-01116-3KeloidExpanded parasternal intercostal perforator flap (EPIPF)Surgical treatmentRadiotherapy |
| spellingShingle | Hao Liu Fuqiang Sui Shu Liu Kexin Song Yan Hao Youbin Wang Large chest keloids treatment with expanded parasternal intercostal perforator flap BMC Surgery Keloid Expanded parasternal intercostal perforator flap (EPIPF) Surgical treatment Radiotherapy |
| title | Large chest keloids treatment with expanded parasternal intercostal perforator flap |
| title_full | Large chest keloids treatment with expanded parasternal intercostal perforator flap |
| title_fullStr | Large chest keloids treatment with expanded parasternal intercostal perforator flap |
| title_full_unstemmed | Large chest keloids treatment with expanded parasternal intercostal perforator flap |
| title_short | Large chest keloids treatment with expanded parasternal intercostal perforator flap |
| title_sort | large chest keloids treatment with expanded parasternal intercostal perforator flap |
| topic | Keloid Expanded parasternal intercostal perforator flap (EPIPF) Surgical treatment Radiotherapy |
| url | https://doi.org/10.1186/s12893-021-01116-3 |
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