Evidence map›Paper›PMID 38497424›Full record

ArticleActa medica academica2024

Keystone Flap Type IV in Breast Reconstruction: A Case Report.

Filippos Bekos, Nikos Pappas, Dimosthenis Chrysikos, Epaminondas Kostopoulos, Vasileios Karampelias, Dimitra Daskalopoulou, Theodore Troupis

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In one paragraph

Article in Acta medica academica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Filippos BekosPlastic and Reconstructive Surgery, Metaxa Cancer Hospital, Piraeus, Greece; Department of Anatomy, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Nikos PappasDepartment of Anatomy, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Dimosthenis ChrysikosDepartment of Anatomy, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Epaminondas KostopoulosPlastic and Reconstructive Surgery, Metaxa Cancer Hospital, Piraeus, Greece.
Vasileios KarampeliasDepartment of Anatomy, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Dimitra DaskalopoulouDepartment of Anatomy, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Theodore TroupisDepartment of Anatomy, Medical School, National and Kapodistrian University of Athens, Athens, Greece. ttroupis@gmail.com; ttroupis@med.uoa.gr.
National and Kapodistrian University of Athens · GRMetaxa Hospital · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe objective of this paper is to present and document a specific case of breast reconstruction using an adapted Type IV Keystone Flap technique, with a droplet-shaped design with a reduced flap ratio, and to identify the qualities of this method. CASE REPORT: A 41-year-old woman, with a history of myocardial infarction and low ejection fraction, underwent a lumpectomy, resulting in a lower medial quadrant deficit in her left breast. After she developed skin and tissue necrosis and infection, implementing the Type IV Keystone Flap effectively addressed the deficit, ensuring sufficient coverage. The flap extended dropwise beneath the deficit, progressing anteriorly towards the upper rectus abdominis, with a ratio of 2.5:1. The flap's novel droplet shape allowed for the utilization of fewer perforators, while ensuring adequate blood supply and tissue coverage, leading to improved perfusion and aesthetic outcome.

conclusionThe application of the adapted Type IV Keystone Flap highlights its capacity as a versatile and effective method for breast reconstruction post-lumpectomy. With the advantages of a short learning curve, easy execution, and acceptable risk profile, it offers a valuable alternative for patients who may not be suitable for more complex surgeries. Further research is recommended to confirm its broader applicability and to conduct a comparative analysis with other techniques.

Indexed as

MammaplastySurgical FlapsAdultBreast NeoplasmsFemaleHumansMastectomy, SegmentalBreast CancerLumpectomyMastectomyPerforator FlapSkin Deficit

Identifiers

PMID38497424
PMCPMC11626235
OpenAlexW4392811507

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Registered trials

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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.