계명대학교 의학도서관 Repository

The Zitelli bilobed flap for soft tissue coverage after mucoid cyst resection: a retrospective cohort study

Metadata Downloads
Author(s)
Sangho OhJaein ChungDaegu Son
Keimyung Author(s)
Son, Dae Gu
Department
Dept. of Plastic Surgery (성형외과학)
Journal Title
Arch Hand Microsurg
Issued Date
2024
Volume
29
Issue
2
Keyword
FlapGanglion cystsOsteoarthritisMyxoid cyst
Abstract
Purpose:
Digital mucoid cysts are frequently found at the distal interphalangeal (DIP) joint in patients with degenerative osteoarthritis. In complicated cases, surgical treatment with mucoid cyst resection is considered, and soft tissue is covered with one of various local flap techniques. Among these, bilobed flaps are reliable and aesthetically favorable, with primary healing of the donor site. In this study, we investigated a case series of bilobed flaps for digital mucoid cysts.

Methods:
We retrospectively reviewed our electronic medical records and found 26 digital mucoid cysts treated with bilobed flaps at our facility between July 2022 and February 2024. We extracted data from the records of these patients on sex; age; time to surgery; clinical findings including nail ridging, the presence of osteophytes, cyst size and location, and additional procedures (arthrodesis); and follow-up data including the occurrence of complications, such as delayed wound healing, infection, stiffness, and recurrence.

Results:
Among the 26 patients in our sample, 19 were female and seven were male. The average age was 62.2 years, and the average time to surgery was 10.8 months. Preoperatively, the average cyst measured 6.9×8.3 mm. Nail ridging was found in 19 patients (73.1%) and osteophytes in 22 patients (84.6%). The most commonly affected digit was the middle finger, which accounted for 10 cases (38.5%). All the flaps totally survived, without major complications.

Conclusion:
Based on our series, a bilobed flap for soft tissue coverage after mucoid cyst excision can achieve high-quality surgical results.
Keimyung Author(s)(Kor)
손대구
Publisher
School of Medicine (의과대학)
Type
Article
ISSN
2586-3533
Source
https://www.handmicro.org/journal/view.php?number=2520
DOI
10.12790/ahm.24.0014
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/45703
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Plastic Surgery (성형외과학)
Authorize & License
  • Authorize공개
Files in This Item:

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.