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 7.5×2.5 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
16×4.5 cm and that on the left side was 15×4 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 4.0×1.5 cm.
