PMID- 31605009
OWN - NLM
STAT- MEDLINE
DCOM- 20201106
LR  - 20210110
IS  - 2045-2322 (Electronic)
IS  - 2045-2322 (Linking)
VI  - 9
IP  - 1
DP  - 2019 Oct 11
TI  - Keystone-design perforator island flaps for the management of complicated 
      epidermoid cysts on the back.
PG  - 14699
LID - 10.1038/s41598-019-51289-4 [doi]
LID - 14699
AB  - Complicated epidermoid cysts (ECs) occur commonly on the back, but few reports 
      have described their management. We present our experience in managing patients 
      with ECs on the back using a keystone-design perforator island flap (KDPIF) 
      reconstruction, thereby focusing on reduction and redistribution of wound 
      tension. Altogether, 15 patients (average age, 48.067 +/- 14.868 years) underwent 
      KDPIF reconstructions after complete excision of complicated ECs on the back. We 
      retrospectively reviewed the medical records and clinical photographs of all 
      patients. Final scar appearance was evaluated using the Patient and Observer Scar 
      Assessment Scale (POSAS). All patients had ruptured ECs, while 6 patients also 
      had cellulitis of the surrounding tissues. All defects, after complete excision 
      of ECs and debridement of surrounding unhealthy tissues, were successfully 
      covered with KDPIF. The mean 'tension-change' at the defect and donor sites was 
      -4.73 +/- 0.21 N and -4.88 +/- 0.25 N, respectively (p < 0.001). The mean 'rate of 
      tension-change' at the defect and donor sites was -69.48 +/- 1.7% and 
      -71.16 +/- 1.33%, respectively (p < 0.001). All flaps survived with no 
      postoperative complications. The mean observer scar assessment scale (OSAS) 
      summary score and patient scar assessment scale (PSAS) total score were 
      14.467 +/- 5.069 and 15.6 +/- 6.512, respectively. Overall, we suggest that KDPIF 
      reconstruction is a good surgical modality for the management of complicated ECs 
      on the back.
FAU - Yoon, Chi Sun
AU  - Yoon CS
AD  - Department of Plastic and Reconstructive Surgery, Ulsan University Hospital, 
      University of Ulsan College of Medicine, Ulsan, Korea.
FAU - Kim, Hyo Bong
AU  - Kim HB
AD  - Department of Plastic and Reconstructive Surgery, Konyang University Hospital, 
      University of Konyang College of Medicine, Myunggok Medical Research Center, 
      Daejeon, Korea.
FAU - Kim, Young Keun
AU  - Kim YK
AD  - Kim Young Keun's Plastic and Aesthetic Surgery Clinics, Daejeon, Korea.
FAU - Kim, Hoon
AU  - Kim H
AUID- ORCID: 0000-0003-1261-9743
AD  - Department of Plastic and Reconstructive Surgery, Konyang University Hospital, 
      University of Konyang College of Medicine, Myunggok Medical Research Center, 
      Daejeon, Korea.
FAU - Kim, Kyu Nam
AU  - Kim KN
AD  - Department of Plastic and Reconstructive Surgery, Konyang University Hospital, 
      University of Konyang College of Medicine, Myunggok Medical Research Center, 
      Daejeon, Korea. manabear77@naver.com.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20191011
PL  - England
TA  - Sci Rep
JT  - Scientific reports
JID - 101563288
SB  - IM
MH  - Adult
MH  - Aged
MH  - Back/*pathology
MH  - Cicatrix
MH  - Debridement
MH  - Epidermal Cyst/*surgery
MH  - Female
MH  - Graft Survival
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Perforator Flap/*transplantation
MH  - Retrospective Studies
MH  - Skin Transplantation/*methods
MH  - Transplant Donor Site
MH  - Treatment Outcome
PMC - PMC6789127
COIS- The authors declare no competing interests.
EDAT- 2019/10/13 06:00
MHDA- 2020/11/11 06:00
PMCR- 2019/10/11
CRDT- 2019/10/13 06:00
PHST- 2019/04/10 00:00 [received]
PHST- 2019/09/28 00:00 [accepted]
PHST- 2019/10/13 06:00 [entrez]
PHST- 2019/10/13 06:00 [pubmed]
PHST- 2020/11/11 06:00 [medline]
PHST- 2019/10/11 00:00 [pmc-release]
AID - 10.1038/s41598-019-51289-4 [pii]
AID - 51289 [pii]
AID - 10.1038/s41598-019-51289-4 [doi]
PST - epublish
SO  - Sci Rep. 2019 Oct 11;9(1):14699. doi: 10.1038/s41598-019-51289-4.