Kim Hoon, Ryu Wan Cheol, Yoon Chi Sun, Kim Kyu Nam
Department of Plastic and Reconstructive Surgery, Konyang University Hospital, University of Konyang College of Medicine, Myunggok Medical Research Center, Daejeon Department of Plastic and Reconstructive Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
Medicine (Baltimore). 2017 May;96(21):e7008. doi: 10.1097/MD.0000000000007008.
Effective obliteration of dead space after reconstructive surgery facilitates a good cosmetic outcome and prevention of delayed wound healing and recurrent infection.We evaluated the efficacy of a keystone-designed buried de-epithelialized (KBD) flap for the obliteration of small to moderately sized surgical dead spaces.We reviewed the medical records of patients who received a KBD flap following removal of a mass or debridement of necrotic tissue from September 2015 to February 2016. The diagnosis, site, dead space dimensions, flap width, drain data, complications, and follow-up duration were recorded.Twenty-eight KBD flaps were evaluated, including 9 cases of fat necrosis, 7 cases of epidermal cyst, and 12 cases of lipoma. Dead space dimensions ranged from 2 × 1.5 × 1 cm to 10 × 5 × 3 cm, with a mean depth of 2.01 cm. Flap sizes ranged from 2.5 × 1 cm to 11 × 3 cm, with a mean flap width of 2.01 cm. No postoperative complications, such as seroma or hematoma, occurred. The cosmetic results were favorable, and all patients were satisfied with their final outcomes.The KBD flap is useful for the obliteration of small to moderately sized surgical dead spaces both spatially and physiologically and shows excellent cosmetic outcomes.
重建手术后有效消除死腔有助于获得良好的美容效果，并预防伤口愈合延迟和反复感染。我们评估了一种关键设计的埋藏去上皮化（KBD）皮瓣用于消除中小尺寸手术死腔的疗效。我们回顾了2015年9月至2016年2月期间因肿物切除或坏死组织清创后接受KBD皮瓣治疗的患者的病历。记录了诊断、部位、死腔尺寸、皮瓣宽度、引流数据、并发症及随访时间。共评估了28例KBD皮瓣，其中脂肪坏死9例，表皮样囊肿7例，脂肪瘤12例。死腔尺寸范围为2×1.5×1厘米至10×5×3厘米，平均深度为2.01厘米。皮瓣尺寸范围为2.5×1厘米至11×3厘米，平均皮瓣宽度为2.01厘米。未发生血清肿或血肿等术后并发症。美容效果良好，所有患者对最终结果均满意。KBD皮瓣在空间和生理上均有助于消除中小尺寸的手术死腔，并显示出优异的美容效果。
