title: The Keystone Perforator Island Flap in Nasal Reconstruction: An Alternative Reconstructive Option for Soft Tissue Defects up to 2 cm.
abstract: The aim of this study was to present our experience with the use of the Keystone Perforator Island Flap (KPIF) in a case series of patients with small size (diameter ≤ 2 cm) nasal defects which will be useful prospectively to assist plastic surgeons in planning a reconstructive strategy that will work. The KPIF was utilized in 30 patients with nasal defects post tumor extirpation. More than one type of KPIF (type I or type III) was used following the nasal subunit principle or a modified version of it. The mean follow-up period was 10.5 months. Overall good outcomes were achieved, with no major complications encountered, except minor wound dehiscence in 3 cases. It is the first time that the utilization of this flap is reported in nasal reconstruction. The versatility of the KPIF makes it a safe technique even in the hands of inexperienced surgeons under guidance for nasal defects up to 2 cm in diameter.
authors.affiliation: *Department of Plastic Surgery, A. Syggros Hospital, National and Kapodestrian University of Athens Medical School, Athens, Greece †Plastic and Burn Surgery Department, Francois-Xavier Michelet Center, Centre Hospitalier Universitaire, Bordeaux 2 University, Bordeaux, France ‡Department of Plastic Surgery, University of Tennessee Health Science Center, Memphis, TN.
authors.forename: Epameinondas
authors.initials: E
authors.lastname: Kostopoulos
authors.forename: Vincent
authors.initials: V
authors.lastname: Casoli
authors.forename: Christos
authors.initials: C
authors.lastname: Agiannidis
authors.forename: Petros
authors.initials: P
authors.lastname: Konofaos
authors.forename: Georgios
authors.initials: G
authors.lastname: Drimouras
authors.forename: Avraam
authors.initials: A
authors.lastname: Dounavis
authors.forename: Grigorios
authors.initials: G
authors.lastname: Champsas
authors.forename: Marios
authors.initials: M
authors.lastname: Frangoulis
authors.forename: Othon
authors.initials: O
authors.lastname: Papadopoulos
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009666:Nose / Q000601:surgery*; D009669:Nose Neoplasms / Q000601:surgery*; D061525:Perforator Flap; D012225:Rhinoplasty / Q000379:methods*; D055815:Young Adult