Current Controversies in Melanoma Treatment | Journal CME Article-Journal CME Article: Current Controversies in Melanoma Treatment V2

Journal CME Article: Current Controversies in Melanoma Treatment V2

Video Transcription

Video Summary

The presentation highlights the effectiveness of the keystone flap technique in reconstructing large excision defects from melanoma, especially on distal extremities. The procedure involves a wide excision with a 2 cm margin, using a modified keystone flap with an intact trailing skin bridge and V to Y closures to minimize defect size. This method preserves the perforators under the flap, allowing it to be advanced without undermining. The final result illustrates effective reconstruction with marked and resected redundant wings, demonstrating successful application in another patient with a similar defect.

Keywords

keystone flap technique

melanoma reconstruction

distal extremities

V to Y closures

perforator preservation