Reconstruction of a Perianal Defect After Basal Cell Carcinoma Using Bilateral v-Y Advancement Fasciocutaneous Flaps

Ruiz-de-Erenchun, R.; Rodríguez, Nelson Fuentes; Jl, Hernández; García-Tutor, Emilio

doi:10.1097/00006534-200303000-00067

Cited by 5 publications

(5 citation statements)

References 6 publications

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“…1 It typically presents as a slow growing perianal mass with raised edges and central ulceration. The lesion usually originates from hair bearing skin at the anal margins; however, it can extend into the anal canal and above the dentate line.…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, there are potential problems with these latter options, such as long-term immobilisation in the prone position, infection, fl ap necrosis, graft loss and anal stenosis with graft contracture. 1 Indeed, other potential options for perianal soft tissue reconstruction have been described and reviewed in the literature. 1,4 Borrowed from architectural terminology, the term keystone design perforator island fl ap was coined by Behan in 2003 because of its curvilinear shaped trapezoidal design.…”

Section: Discussionmentioning

confidence: 99%

“…1 Indeed, other potential options for perianal soft tissue reconstruction have been described and reviewed in the literature. 1,4 Borrowed from architectural terminology, the term keystone design perforator island fl ap was coined by Behan in 2003 because of its curvilinear shaped trapezoidal design. 2 The arc-shaped defect is in fact based on fasciocutaneous perforators, which provide vascularity to the island fl ap, and two V-Y points, which help in closure of the defect.…”

Section: Discussionmentioning

confidence: 99%

“…1 The soft tissue reconstruction at the perianal region can be challenging and a variety of options are described in the literature. [1][2][3][4][5] The keystone design perforator island flap is an excellent and attractive option for soft tissue reconstruction. 2 We present a case of perianal BCC that was reconstructed with a unilateral keystone flap.…”

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confidence: 99%

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Reconstruction for basal cell carcinoma in an anatomical region where the sun does not shine: an attractive option!

Lohana

Creagh

2012

annals

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Basal cell carcinoma is one of the common skin malignancies but it is rarely found in sun-protected areas. The soft tissue reconstruction at the perianal region can be challenging and a variety of options are described in the literature. The keystone design perforator island flap is an excellent and attractive option for soft tissue reconstruction. We present a case of perianal basal cell carcinoma that was reconstructed with a unilateral keystone flap.Basal cell carcinoma (BCC) is one of the common skin malignancies but it is rarely found in sun-protected areas.1 The soft tissue reconstruction at the perianal region can be challenging and a variety of options are described in the literature.1-5 The keystone design perforator island flap is an excellent and attractive option for soft tissue reconstruction. 2 We present a case of perianal BCC that was reconstructed with a unilateral keystone flap. Case historyA 58-year-old man presented to colorectal surgeons with a 6-month history of a slowly growing, painless lesion with an occasional history of bleeding. The patient was in excellent health and had no prior history of skin cancer.On examination, a 6cm x 3cm ulcerated lesion with an ill defined margin was present at the natal cleft (Fig 1). There was no local or regional lymphadenopathy. Digital rectal examination and sigmoidoscopy were normal with no sphincter involvement. The punch biopsy confirmed BCC.The patient was referred to the regional plastic surgery department for reconstruction due to the location of the lesion. He underwent 4mm excision with a cuff of fat and unilateral keystone flap reconstruction. The patient had an unremarkable recovery post-operatively. The histology report showed a completely excised BCC with 4mm peripheral and 9mm deep margin clearance. The post-operative course was unremarkable. At the one-year follow-up appointment there was no evidence of recurrence and durable flap coverage had been achieved (Fig 2).

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Reconstruction for basal cell carcinoma in an anatomical region where the sun does not shine: an attractive option!

Lohana

Creagh

2012

annals

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“…Options include healing by secondary intention, grafts, or flaps. 2 Secondary intention healing is unpredictable and has a propensity to cause anal stenosis and incontinence. Stability and adequacy of blood supply is a major issue with skin grafts.…”

Section: Discussionmentioning

confidence: 99%

Bilateral V-Y Advancement Flaps for the Management of Extensive Defects of the Perianal Skin

Kiran

Kalavagunta

Berube

et al. 2006

The American Surgeon™

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Premalignant and malignant conditions of the skin may sometimes require excision of extensive areas of the skin and subcutaneous tissues. Coverage of the ensuing raw area may be afforded by allowing healing by secondary intention, skin grafts, or flaps. Wide excision of the perianal skin poses special problems. We describe the use of bilateral V-Y advancement flaps for the management of an extensive defect resulting from the wide excision of squamous cell carcinoma arising in scarred perianal skin.

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Carcinome basocellulaire périanal étendu au canal anal

Simo

Jarjous

Boddaert

et al. 2008

Gastroentérologie Clinique et Biologique

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Reconstruction of a Perianal Defect After Basal Cell Carcinoma Using Bilateral v-Y Advancement Fasciocutaneous Flaps

Cited by 5 publications

References 6 publications

Reconstruction for basal cell carcinoma in an anatomical region where the sun does not shine: an attractive option!

Reconstruction for basal cell carcinoma in an anatomical region where the sun does not shine: an attractive option!

Bilateral V-Y Advancement Flaps for the Management of Extensive Defects of the Perianal Skin

Carcinome basocellulaire périanal étendu au canal anal

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