Evidence map›Paper›PMID 39627332›Full record

ArticleAesthetic plastic surgery2025

Long-Term Outcome of Anterior Chest Keloid Excision Using Intercostal Artery Perforator Propeller Flaps.

Yi Zhang, Chen Wang, Dongze Lyu, Danru Wang, Renpeng Zhou

Abstract read
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Article in Aesthetic plastic surgery, 2025. 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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1 · What the graph read from it

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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.

2 · The registry

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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

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

5 authors.

Yi Zhang *Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, Shanghai Jiao Tong University School of Medicine, 639 Zhi Zao Ju Road, Shanghai, 200011, People's Republic of China.
Chen Wang *Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, Shanghai Jiao Tong University School of Medicine, 639 Zhi Zao Ju Road, Shanghai, 200011, People's Republic of China.
Dongze LyuDepartment of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, Shanghai Jiao Tong University School of Medicine, 639 Zhi Zao Ju Road, Shanghai, 200011, People's Republic of China.
Danru WangDepartment of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, Shanghai Jiao Tong University School of Medicine, 639 Zhi Zao Ju Road, Shanghai, 200011, People's Republic of China. wangdanru1776@163.com.
Renpeng ZhouDepartment of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, Shanghai Jiao Tong University School of Medicine, 639 Zhi Zao Ju Road, Shanghai, 200011, People's Republic of China. zhourenpeng121039@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe chest, with its high skin tension, is prone to keloids and has a high relapse rate. Surgical excision of keloids combined with radiation therapy significantly reduces the recurrence rate. For larger chest keloids (3-10 cm), intercostal artery perforator propeller flap can be used to reduce tension. However, there is a lack of reports of long-term complications of this treatment.

methodsThe keloid excision using intercostal artery perforator propeller flap was performed for patients with anterior chest keloid between Oct 2018 and Aug 2022. Then radiation therapy was given in 6 Gy each time in 3 fractions over 3 days (electron beam irradiation) for a total dose of 18 Gy. All patients were followed up for at least 24 months. The complications were recorded and analyzed.

resultsA total of 15 patients with anterior chest keloid underwent surgery and radiation therapy. Satisfactory aesthetic outcomes were achieved. The recurrence rate was 0%. The major complication observed in our patients was a hypertrophic scar (86.7%), followed by hyperpigmentation (13.3%).

conclusionsThe major complication of our patients is the hypertrophic scar, followed by hyperpigmentation. Patients should be fully informed of the risk of this long-term complication (hypertrophic scar) preoperatively. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors  www.springer.com/00266 .

Indexed as

KeloidPerforator FlapPlastic Surgery ProceduresAdultEstheticsFemaleFollow-Up StudiesHumansMaleMiddle AgedRetrospective StudiesTime FactorsTreatment OutcomeYoung AdultChestComplicationIntercostal artery perforator propeller flapKeloidRadiation therapy

Identifiers

PMID39627332

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