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The fortune cookie flap for aesthetic reconstruction after chest keloid resection: a small case series.

ABSTRACT: Generally, the recurrence rate of keloids is unacceptably high after surgical excision alone. Nevertheless, surgical reduction of keloids is inevitable in many cases. The reconstruction of extensive soft tissue defects following complete keloid resection is challenging to surgeons. In this study, we present our clinical experience using a novel fortune cookie flap for treating chest keloids. This flap provides an excellent surgical option that maintains natural appearance with minimal donor-site morbidity.We retrospectively reviewed the data from 3 consecutive cases of reconstruction using the fortune cookie flap following resection of chest keloids between March and December, 2017.Successful reconstructions were performed without any major complications. The mean dimensions of the reconstructed defect were 5.0?×?4.2 cm, while the mean dimensions of the flap were 7.7?×?5.7 cm.Owing to its simplicity, reliability, versatility, minimal morbidity and excellent aesthetics, the fortune cookie flap is as an excellent option for reconstruction following complete keloid resection on the chest.

SUBMITTER: Park TH 

PROVIDER: S-EPMC5907744 | biostudies-literature | 2018 Apr

REPOSITORIES: biostudies-literature

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The fortune cookie flap for aesthetic reconstruction after chest keloid resection: a small case series.

Park Tae Hwan TH   Lee Jang Won JW   Kim Chan Woo CW  

Journal of cardiothoracic surgery 20180419 1

<h4>Background</h4>Generally, the recurrence rate of keloids is unacceptably high after surgical excision alone. Nevertheless, surgical reduction of keloids is inevitable in many cases. The reconstruction of extensive soft tissue defects following complete keloid resection is challenging to surgeons. In this study, we present our clinical experience using a novel fortune cookie flap for treating chest keloids. This flap provides an excellent surgical option that maintains natural appearance with  ...[more]

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