{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,4]],"date-time":"2025-05-04T00:36:20Z","timestamp":1746318980505},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2022,5,2]],"date-time":"2022-05-02T00:00:00Z","timestamp":1651449600000},"content-version":"vor","delay-in-days":2984,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2014,3]]},"abstract":"<jats:p>\nBackground  Epidermal cysts are commonly occurring masses usually less than 5 cm in diameter, but in predisposed patients, epidermal cysts can grow relatively large due to chronic infection.<\/jats:p><jats:p>\nMethods  From June 2002 to July 2010, 17 patients received 19 regional perforator-based island flaps to cover defects due to the excision of large epidermal cysts (diameter &gt;5 cm) in the buttocks. Eight patients had diabetes, and seven had rheumatoid arthritis. The pedicles were not fully isolated to prevent spasms or twisting.<\/jats:p><jats:p>\nResults  All the flaps survived completely, except for one case with partial necrosis of the flap, which necessitated another perforator-based island flap for coverage. There were two cases of wound dehiscence, which were re-closed after meticulous debridement. There were no recurrences of the masses during follow-up periods of 8.1 months (range, 6-12 months).<\/jats:p><jats:p>\nConclusions  In patients with large epidermal cysts and underlying medical disorders, regional perforator-based island flaps can be the solution to coverage of the defects after excision.<\/jats:p>","DOI":"10.5999\/aps.2014.41.2.140","type":"journal-article","created":{"date-parts":[[2014,3,14]],"date-time":"2014-03-14T23:54:41Z","timestamp":1394841281000},"page":"140-147","source":"Crossref","is-referenced-by-count":3,"title":["Perforator Flaps after Excision of Large Epidermal Cysts in the Buttocks"],"prefix":"10.1055","volume":"41","author":[{"given":"Sang Wha","family":"Kim","sequence":"additional","affiliation":[{"name":"1Department of Plastic and Reconstructive Surgery, The Catholic University of Korea College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seong Hyeok","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Hanyang University College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeong Tae","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Hanyang University College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Youn Hwan","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Hanyang University College of Medicine, Seoul, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,5,2]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1111\/j.1346-8138.2007.00248.x","article-title":"Fluid-fluid level in a giant epidermal cyst of the buttock","volume":"34","author":"N Takemura","year":"2007","journal-title":"J Dermatol"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1046\/j.1365-2133.2001.03997.x","article-title":"A giant epidermoid cyst demonstrated by magnetic resonance imaging","volume":"144","author":"T Yamamoto","year":"2001","journal-title":"Br J Dermatol"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"864","DOI":"10.1007\/s00256-006-0098-0","article-title":"Giant epidermal inclusion cyst of buttock","volume":"35","author":"M Golshan Momeni","year":"2006","journal-title":"Skeletal Radiol"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1089\/104454703321895626","article-title":"Laser marsipulization of epidermal cysts: avoiding linear scars","volume":"21","author":"M El Alami","year":"2003","journal-title":"J Clin Laser Med Surg"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"2050","DOI":"10.1111\/j.1524-4725.2010.01774.x","article-title":"A new modified technique for 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Surg"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"2006","DOI":"10.1097\/00006534-200112000-00026","article-title":"Sacral adipofascial turn-over flap for the excisional defect of pilonidal sinus","volume":"108","author":"K Onishi","year":"2001","journal-title":"Plast Reconstr Surg"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1097\/SAP.0b013e3181587a06","article-title":"Reconstruction of extensive pilonidal sinus defects with the use of S-GAP flaps","volume":"61","author":"Y Basterzi","year":"2008","journal-title":"Ann Plast Surg"},{"key":"ref14","first-page":"714","article-title":"Reconstruction of the recurrent ischial sore with modified gluteus maximus myocutaneous V-Y advancement flap","volume":"36","author":"SR Lee","year":"2009","journal-title":"J Korean Soc Plast Reconstr Surg"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1097\/00006534-199304000-00017","article-title":"The gluteal perforator-based flap for repair of sacral pressure sores","volume":"91","author":"I Koshima","year":"1993","journal-title":"Plast Reconstr Surg"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1016\/j.bjps.2010.05.021","article-title":"A perforator solution for excisional defects of pilonidal sinus","volume":"64","author":"YH Kim","year":"2011","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"1744","DOI":"10.1097\/PRS.0b013e3181cb675f","article-title":"Perfecting the design of the gluteus maximus perforator-based island flap for coverage of buttock defects","volume":"125","author":"JT Kim","year":"2010","journal-title":"Plast Reconstr Surg"}],"container-title":["Archives of Plastic 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