Perforator Flaps after Excision of Large Epidermal Cysts in the Buttocks
Archives of Plastic Surgery
;
: 140-147, 2014.
Article
Dans Anglais
| WPRIM
| ID: wpr-212698
ABSTRACT
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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Polyarthrite rhumatoïde
/
Récidive
/
Spasme
/
Lambeaux chirurgicaux
/
Plaies et blessures
/
Fesses
/
Études de suivi
/
Débridement
/
Kyste épidermique
/
Lambeau perforant
Type d'étude:
Étude observationnelle
/
Étude pronostique
Limites du sujet:
Humains
langue:
Anglais
Texte intégral:
Archives of Plastic Surgery
Année:
2014
Type:
Article
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