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15. Long-term results of IMA Propeller flap use for keloid in the anterior chest wall -Three Case Reports -
Hidetaka Watanabe1, Tetsuji Uemura2
1:Department of Plastic and Reconstructive Surgery, Japanese Red Cross Kumamoto Hospital, Kumamoto, Japan
2:Department of Plastic and Reconstructive Surgery, Saga University School of Medicine, Saga, Japan
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An island flap was designed and elevated by the internal mammary artery perforator flap located at the 5th ~ 7th ribs for the defect after excising the keloid in the center of the thorax. After the operation, electron beam irradiation (16~20Gy) was used, and the result was good. We describe three cases of keloid in the anterior chest wall.
Case 1: A 74-year-old woman had a huge infected thorax keloid that was excised under general anesthesia, and the internal mammary artery perforator flaps in both sides of the keloid were elevated. Size of the right side flap was 16x4.5cm, and that on the left side was 15x4cm.
Case 2: A 64-year-old man had a small thorax keloid that was excised under general anesthesia, and the internal mammary artery perforator flap in the left side of the keloid was elevated. The flap size was 4x15cm.
Case 3: A 64-year-old man had a small thorax keloid that was excised under local anesthesia, and the internal mammary artery perforator flap in the left side of the keloid was elevated. The flap size was 7.5x2.5cm.
Conclusion
Surgical treatment of thorax keloid using the internal mammary artery perforator flap was without recurrence of keloid. |
