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Men et al. Plast Aesthet Res 2017;4:86-91 Plastic and
DOI: 10.20517/2347-9264.2017.25
Aesthetic Research

www.parjournal.net
Topic: Keloid and its Treatment Open Access

Reconstruction of a large defect of the female

chest following keloid excision with use of

the rectus abdominis myocutaneous flap

Quan-Cang Men *, Shu Liu *, Ke-Xin Song , You-Bin Wang , Zhu Lin , Liu Hao , Xin-Hang Dong , Long Xiao
2
1
1
1
1
1
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1 Department of Plastic Surgery, Peking Union Medical College Hospital, Beijing 100032, China.
2 China Meitan General Hospital Affiliated to North China Universityof Science and Technology, Beijing 100028, China.
*Authors contributed equally.
Correspondence to: Dr. You-Bin Wang, Department of Plastic Surgery, Peking Union Medical College Hospital, Beijing 100032, China.
E-mail: wybenz@sina.com
How to cite this article: Men QC, Liu S, Song KX, Wang YB, Lin Z, Hao L, Dong XH, Xiao L. Reconstruction of a large defect of the female chest
following keloid excision with use of the rectus abdominis myocutaneous flap. Plast Aesthet Res 2017;4:86-91.
Dr. You-Bin Wang is an outstanding Professor in the Department of Plastic Surgery at Peking Union Medical College
Hospital. He is famous in keloid treatment and study. He has invented many new surgical methods in keloid treatment
and has published many articles in this field. He is also good at cleft lip surgery, nose reconstructive surgery and
breast reconstruction.

ABSTRACT
Article history: Aim: This study aimed to investigate the efficacy of the myocutaneous flap of the rectus
Received: 21-03-2017 abdominis in the surgical treatment of a large defect on the female chest following
Accepted: 20-04-2017 keloid excision. Methods: According to the location and size of the keloid on the chest,
Published: 26-05-2017 a myocutaneous flap based on the left or right rectus abdominis muscle was designed and
transferred for repair of a chest defect following keloid resection. Radiotherapy was performed
Key words: in the surgical area on the first and seventh postoperative days. Results: From January 2015
Keloid, to March 2016, rectus abdominis myocutaneous flap coverage and early radiotherapy were
rectus abdominis myocutaneous flap, used to treat 7 cases of keloids on the female chest. A postoperative follow-up of 10-14 months
radiotherapy (average 12 months) was conducted. All the flaps survived well without evidence of keloid
recurrence, and all patients achieved an improved chest shape. Conclusion: The rectus
abdominis myocutaneous flap is a viablemethod for wound closure following resection of
large keloids on the female chest.

INTRODUCTION fibers; this process frequently occurs in the chest
[1]
wall, shoulder, upper arm and other locations. The
Keloids formation occurs secondary to excessive disease course of a keloid on the chest wall is longer,
local fibroblast proliferation and synthesis of collagen and these areas tend to be wider, particularly in
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