Papers of The 2nd Japan Scar Workshop

4. New artery rebuilding technique for keloids and hypertrophic scars

Masumoto Kazuyuki, Tetsuji Uemura
Department of Plastic & Reconstructive Surgery, Saga University Hospital, Saga, Japan


We designed an island flap to be elevated by either an internal mammary artery perforator flap located at the 5th or 6th rib or a facial artery perforator flap to prevent defects after keloid excision. Here we describe 3 cases of keloids treated with this surgical technique followed by electron beam irradiation of 16 Gy. Case1: A 64-year-old man had a small thorax keloid that was excised under local anesthesia. The internal mammary artery perforator flap on the left side of the keloid was elevated. The flap size was 7.52.5 cm. Case 2: A 74-year-old woman had a large, infected thorax keloid that was excised under general anesthesia. The internal mammary artery perforator flaps on both sides of the keloid were elevated. The size of the flap on the right side was 164.5 cm and that on the left side was 154 cm. Case3: A 17-year-old man had an increasing keloid on the left side of the upper lip that was excised under local anesthesia. The facial artery perforator flap on the left side of the keloid was elevated. The flap size was 4.01.5 cm.
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