ReviewWorld journal of clinical cases2020
Keystone design perforator island flap in facial defect reconstruction.
Review in World journal of clinical cases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 27 citations in OpenAlex.
- The Keystone Flap for Vulvar Reconstruction: A Case Series and BODY-Q Evaluation.Plastic and reconstructive surgery. Global open · 2026Article
- First Free Anterolateral Thigh Flap for Facial Reconstruction Following Bear Mauling in Bhutan.Plastic and reconstructive surgery. Global open · 2026Article
- Patient and Observer Scar Assessment of Facial Keystone Flap Reconstruction in Korean Patients.Journal of clinical medicine · 2025Article
- Myelomeningocele closure: A review and decision-making guidance.JPRAS open · 2025Review
- Uneasy (Intractable) Head and Neck Defect Coverage With Easy and Reliable Local Flap Techniques: A Retrospective Case-Based Study of Perforator-Plus Peninsular Flap and Modified Keystone Flap.Laryngoscope investigative otolaryngology · 2025Article
- The Keystone Design Perforator Flap: A Flap to Simplify Complex Reconstructive Issues.Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India · 2024Article
- The Keystone Flap: A Game Changer That Promises New Horizons in Reconstructive Surgery.Cureus · 2024Article
- An esthetic, functional, and low-invasive lower red lip reconstruction using a mucosal perforator flap: A case report.Clinical case reports · 2023Article
- Surgical treatment of postauricular hidradenitis suppurativa with delayed diagnosis: a case report and literature review.Archives of craniofacial surgery · 2023Article
- Modified Keystone Perforator Island Flap Techniques for Small- to Moderate-Sized Scalp and Forehead Defect Coverage: A Retrospective Observational Study.Journal of personalized medicine · 2023Article
- Modified Mini-Keystone Flaps for Coverage of Tiny Volar Pulp Defects of the Fingertips in Cases with Missing Amputation Skin Stumps: A Retrospective Study.Journal of clinical medicine · 2022Article
- A comparative study for tension-reducing effect of Type I and Type II keystone perforator island flap in the human back.Scientific reports · 2021Article
- Full-Thickness Skin Graft according to Surrounding Relaxed Skin Tension Line Improves Scar Quality in Facial Defect Coverage: A Retrospective Comparative Study.BioMed research international · 2021Article
- Utility of Keystone Flap in Armory of Dermatosurgeons.Indian journal of dermatologyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Facial defect coverage is a common subject in the field of reconstructive surgery. There are many methods for facial defect reconstruction, and reconstructive surgeons should choose the most appropriate method on a case-by-case basis to achieve both functional and aesthetic improvement. Among various options for facial reconstruction, the local flap technique is considered the best reconstructive modality to provide good tissue matches of color and texture, which is consistent with the ideal goal of reconstruction (replacement of like-with-like). Keystone design perforator island flap (KDPIF), devised by Behan in 2003, has been applied to various fields of reconstructive surgery in the past decade due to its design simplicity, robust vascular supply, and reproducibility. Several studies have reported KDPIF reconstruction of facial defects, such as large parotid defects, small-to-moderate nasal defects, and eyelid defects. However, KDPIF has been used relatively less in facial defects than in other body regions, such as the trunk and extremities. The purpose of this review is to provide an organized overview of facial KDPIF reconstruction including the classification of KDPIF, modifications, physiology, mechanism of flap movement, consideration of facial relaxed skin tension lines and aesthetics, surgical techniques, clinical applications, and precautions for successful execution of KDPIF reconstruction.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.