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World J Clin Cases. May 26, 2020; 8(10): 1832-1847
Published online May 26, 2020. doi: 10.12998/wjcc.v8.i10.1832
Keystone design perforator island flap in facial defect reconstruction
Soo Yeon Lim, Chi Sun Yoon, Hyun Gun Lee, Kyu Nam Kim
Soo Yeon Lim, Hyun Gun Lee, Kyu Nam Kim, Department of Plastic and Reconstructive Surgery, Konyang University Hospital, University of Konyang College of Medicine, Myunggok Medical Research Center, Daejeon 35365, South Korea
Chi Sun Yoon, Department of Plastic and Reconstructive Surgery, Wonkwang University Hospital, Wonkwang University School of Medicine, Iksan 54538, South Korea
Author contributions: Lim SY and Yoon CS contributed equally to this work as principal authors; Lim SY and Yoon CS conducted the literature review, analysis, and writing of the original draft; Lee HG performed the data curation and graphics work; Kim KN was involved in the conceptualisation, investigation, literature review, supervision, writing, reviewing and editing.
Conflict-of-interest statement: Authors declare no conflict of interests for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Kyu Nam Kim, MD, PhD, Associate Professor, Department of Plastic and Reconstructive Surgery, Konyang University Hospital, University of Konyang College of Medicine, Myunggok Medical Research Center, 685 Gasuwon-dong seo-gu, Daejeon 35365, South Korea. manabear77@naver.com
Received: February 6, 2020
Peer-review started: February 6, 2020
First decision: February 26, 2020
Revised: April 1, 2020
Accepted: April 21, 2020
Article in press: April 21, 2020
Published online: May 26, 2020
Core Tip

Core tip: To obtain improved aesthetic and functional results in facial reconstruction using local flaps, facial relaxed skin tension lines and facial aesthetic unit principles should both be considered. In this article, we review the keystone perforator island flap, which is a simple and easy local flap technique, and investigate facial keystone perforator island flap reconstruction, taking into account both facial relaxed skin tension lines and facial aesthetic subunits, which can achieve promising results and ideal outcomes without difficulty in covering facial defects in both central and peripheral facial units.