The keystone perforator island flap in nasal reconstruction

An alternative reconstructive option for soft tissue defects up to 2 cm

Epameinondas Kostopoulos, Vincent Casoli, Christos Agiannidis, Petros Konofaos, Georgios Drimouras, Avraam Dounavis, Grigorios Champsas, Marios Frangoulis, Othon Papadopoulos

Research output: Contribution to journalArticle

6 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)1374-1377
Number of pages4
JournalJournal of Craniofacial Surgery
Volume26
Issue number4
DOIs
StatePublished - Jun 1 2015

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Perforator Flap
Surgical Flaps
Nose
Wounds and Injuries
Neoplasms

All Science Journal Classification (ASJC) codes

  • Surgery
  • Otorhinolaryngology

Cite this

The keystone perforator island flap in nasal reconstruction : An alternative reconstructive option for soft tissue defects up to 2 cm. / Kostopoulos, Epameinondas; Casoli, Vincent; Agiannidis, Christos; Konofaos, Petros; Drimouras, Georgios; Dounavis, Avraam; Champsas, Grigorios; Frangoulis, Marios; Papadopoulos, Othon.

In: Journal of Craniofacial Surgery, Vol. 26, No. 4, 01.06.2015, p. 1374-1377.

Research output: Contribution to journalArticle

Kostopoulos, E, Casoli, V, Agiannidis, C, Konofaos, P, Drimouras, G, Dounavis, A, Champsas, G, Frangoulis, M & Papadopoulos, O 2015, 'The keystone perforator island flap in nasal reconstruction: An alternative reconstructive option for soft tissue defects up to 2 cm', Journal of Craniofacial Surgery, vol. 26, no. 4, pp. 1374-1377. https://doi.org/10.1097/SCS.0000000000001746
Kostopoulos, Epameinondas ; Casoli, Vincent ; Agiannidis, Christos ; Konofaos, Petros ; Drimouras, Georgios ; Dounavis, Avraam ; Champsas, Grigorios ; Frangoulis, Marios ; Papadopoulos, Othon. / The keystone perforator island flap in nasal reconstruction : An alternative reconstructive option for soft tissue defects up to 2 cm. In: Journal of Craniofacial Surgery. 2015 ; Vol. 26, No. 4. pp. 1374-1377.
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