©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Mar 6, 2024; 12(7): 1305-1312
Published online Mar 6, 2024. doi: 10.12998/wjcc.v12.i7.1305
Published online Mar 6, 2024. doi: 10.12998/wjcc.v12.i7.1305
Reconstruction of cervical necrotizing fasciitis defect with the modified keystone flap technique: Two case reports
Wonseok Cho, Eun A Jang, Kyu Nam Kim, Department of Plastic and Reconstructive Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul 03181, South Korea
Author contributions: Cho W and Jang EA contributed equally to this work; Kim KN contributed to conceptualization and methodology, reviewed and edited the manuscript, and performed supervision; Jang EA contributed to software, provided resources and performed data curation; Kim KN and Cho W performed validation; Cho W performed formal analysis, and wrote the original draft; Cho W and Jang EA performed the research; Jang EA performed visualization. All authors have read and approve the final version of the manuscript.
Informed consent statement: Written informed consent was obtained from all patients for the publication of this case report and accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Kyu Nam Kim, MD, PhD, Full Professor, Department of Plastic and Reconstructive Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, No. 29 Saemunan-ro, Jongno-gu, Seoul 03181, South Korea.
Received: October 9, 2023
Peer-review started: October 9, 2023
First decision: January 12, 2024
Revised: January 25, 2024
Accepted: February 6, 2024
Article in press: February 6, 2024
Published online: March 6, 2024
Processing time: 143 Days and 21.2 Hours
Peer-review started: October 9, 2023
First decision: January 12, 2024
Revised: January 25, 2024
Accepted: February 6, 2024
Article in press: February 6, 2024
Published online: March 6, 2024
Processing time: 143 Days and 21.2 Hours
Core Tip
Core Tip: Cervical necrotizing fasciitis (CNF) is associated with rapid tissue destruction and mortality; hence, early diagnosis and prompt treatment are necessary. However, serial debridement of necrotic tissues often leads to defects that complicate reconstructions, necessitating the selection of an appropriate reconstruction method. This study, therefore, reports our experiences using the modified keystone flap (KF) technique for CNF defect coverage in two patients. The modified KF technique may serve as an effective reconstructive option for neck defects, owing to its reliable and favorable outcomes in selected cases with small- to moderate-sized defects.