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European Journal of Plastic Surgery

, Volume 37, Issue 6, pp 347–348 | Cite as

‘The Crown flap’: a modification to the keystone flap types I and IIA

  • Nicholas B. Haydon
  • David Caminer
Ideas and Innovations

Abstract

The Crown flap is a modification of the keystone flap first described by Felix Behan in 2003. A third V-Y advancement limb is incorporated into the design in the central region of the flap where the line of maximum tension exists. This added V-Y closure utilizes surrounding tissue laxity and has been found to aid in closure of the defect centrally whilst not compromising the flap. The Crown flap is a useful modification to the keystone flap.

Level of Evidence: Level V, therapeutic study.

Keywords

Keystone flap Skin flap Cancer surgery 

Notes

Conflict of interest

None.

Ethical standards

All persons gave their informed consent prior to their inclusion in this study.

References

  1. 1.
    Behan FC (2003) The keystone design perforator island flap in reconstructive surgery. ANZ J Surg 73:112–120PubMedCrossRefGoogle Scholar
  2. 2.
    Pelissier P et al (2007) The keystone design perforator island flap. Part I: anatomic study. J Plast Reconstr Aesthet Surg 60(8):883–887PubMedCrossRefGoogle Scholar
  3. 3.
    Pelissier P et al (2007) The keystone design perforator island flap. Part II: clinical applications. J Plast Reconstr Aesthet Surg 60(8):888–891PubMedCrossRefGoogle Scholar
  4. 4.
    Pauchot J et al (2012) Geometrical analysis of V-Y advancement flap applied to the keystone flap. J Plast Reconstr Aesthet Surg 65(8):1087–1095PubMedCrossRefGoogle Scholar
  5. 5.
    Pauchot J et al (2012) Geometrical analysis of V-Y advancement flap applied to the keystone flap. J Plast Reconstr Aesthet Surg 65(8):1087–1095PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  1. 1.Hospital Department of Plastic and Reconstructive SurgerySt Vincent’sDarlinghurstAustralia

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