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Fig. 3 | Journal of Cardiothoracic Surgery

Fig. 3

From: The fortune cookie flap for aesthetic reconstruction after chest keloid resection: a small case series

Fig. 3

a A 29-year-old man with wound dehiscence following a keloid excision with direct primary closure on the anterior chest wall, performed at another clinic. Marking of cutaneous perforators, identified using a handheld Doppler preoperatively, and design of the keystone flap. The wound was infected with methicillin resistant Staphylococcus aureus (MRSA). b Intraoperative view of a defect, measuring 5.5 × 5.0 cm, after resection of an infected wound. c Immediate postoperative result of the fortune cookie design perforator island flap and d Computed tomography scan in axial plane at 2 months’ follow-up

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