{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,3,27]],"date-time":"2024-03-27T01:21:57Z","timestamp":1711502517893},"reference-count":0,"publisher":"Academy of Sciences and Arts of Bosnia and Herzegovina","license":[{"start":{"date-parts":[[2024,3,13]],"date-time":"2024-03-13T00:00:00Z","timestamp":1710288000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ama"],"abstract":"<jats:p>Objective. The objective of this paper is to present and document a specific case of breast reconstruction using an adapted Type IV Keystone Flap technique, with a droplet-shaped design with a reduced flap ratio, and to identify the qualities of this method.&#x0D;\nCase Report. A 41-year-old woman, with a history of myocardial infarction and low ejection fraction, underwent a lumpec- tomy, resulting in a lower medial quadrant deficit in her left breast. After she developed skin and tissue necrosis and infec- tion, implementing the Type IV Keystone Flap effectively addressed the deficit, ensuring sufficient coverage. The flap extended dropwise beneath the deficit, progressing anteriorly towards the upper rectus abdominis, with a ratio of 2.5:1. The flap\u2019s novel droplet shape allowed for the utilization of fewer perforators, while ensuring adequate blood supply and tissue coverage, leading to improved perfusion and aesthetic outcome.&#x0D;\nConclusion. The application of the adapted Type IV Keystone Flap highlights its capacity as a versatile and effective method for breast reconstruction post-lumpectomy. With the advantages of a short learning curve, easy execution, and acceptable risk profile, it offers a valuable alternative for patients who may not be suitable for more complex surgeries. Further research is recommended to confirm its broader applicability and to conduct a comparative analysis with other techniques.<\/jats:p>","DOI":"10.5644\/ama2006-124.434","type":"journal-article","created":{"date-parts":[[2024,3,14]],"date-time":"2024-03-14T08:58:46Z","timestamp":1710406726000},"source":"Crossref","is-referenced-by-count":0,"title":["Keystone Flap Type IV in Breast Reconstruction: A Case Report"],"prefix":"10.5644","author":[{"given":"Filippos","family":"Bekos","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikos","family":"Pappas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dimosthenis","family":"Chrysikos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Epaminondas","family":"Kostopoulos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vasileios","family":"Karampelias","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dimitra","family":"Daskalopoulou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theodore","family":"Troupis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3666","published-online":{"date-parts":[[2024,3,13]]},"container-title":["Acta Medica Academica"],"original-title":[],"link":[{"URL":"https:\/\/ama.ba\/index.php\/ama\/article\/download\/554\/608","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/ama.ba\/index.php\/ama\/article\/download\/554\/608","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,26]],"date-time":"2024-03-26T09:04:30Z","timestamp":1711443870000},"score":1,"resource":{"primary":{"URL":"https:\/\/ama.ba\/index.php\/ama\/article\/view\/554"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,13]]},"references-count":0,"URL":"https:\/\/doi.org\/10.5644\/ama2006-124.434","relation":{},"ISSN":["1840-2879","1840-1848"],"issn-type":[{"value":"1840-2879","type":"electronic"},{"value":"1840-1848","type":"print"}],"subject":[],"published":{"date-parts":[[2024,3,13]]}}}