Reconstruction of cervical necrotizing fasciitis defect with the modified keystone flap technique: Two case reports

Figure 4 Clinical photographs of Case 2[8]. A: Skin necrosis resulting from cervical necrotizing fasciitis in the posterior neck area; B: The final post-debridement defect measuring 6 cm × 11 cm, alongside the design of a keystone flap (KF) sized 9 cm × 18 cm, based on perforators from the transverse cervical artery; C: Successful coverage of the defect with the modified Type II KF; D: Postoperative photographs taken after a 6-month follow-up. Citation: Kong YT, Kim J, Shin HW, Kim KN. Keystone flaps for coverage of defects in the posterior neck and lower occipital scalp: a retrospective clinical study. J Craniofac Surg 2021; 32: 1813-1816. Copyright ©The Authors 2021. Published by Wolters Kluwer Health, Inc.