The Keystone Flap: Not an Advance, Just a Stretch

• Published in: Annals of surgical oncology Vol. 20; no. 3; pp. 973 - 980
• Main Authors: Douglas, Charles D., Low, Nelson C. K., Seitz, Michael J.
• Format: Journal Article
• Language: English
• Published: New York Springer-Verlag 01.03.2013; Springer Nature B.V
• Subjects: Female; Humans; Male; Medicine; Medicine & Public Health; Oncology; Prognosis; Reconstructive Oncology; Reconstructive Surgical Procedures; Skin Neoplasms - pathology; Skin Neoplasms - surgery; Surgery; Surgical Flaps; Surgical Oncology; Wound Healing; Primary Closure; Longitudinal Shrinkage; Keystone; Island Flap; Transverse Axis

Background The keystone flap is being promoted as an advance in oncological surgical reconstruction. Wound closure with this island flap involves two V–Y advancements toward the center and along the long axis of the island, at right angles to the line of maximum tension when the wound is closed. It...