Abstract

Pedicled groin flaps are effective surgical techniques used in cases of defective skin injuries on the hand. However, various complications can arise postoperatively. In this report, we aim to present the development of an epidermoid cyst in the flap area ten years after performing a groin flap for a finger tip skin defect due to a fire arm injury. A 45-year-old male patient presented with defective skin injury to the distal phalanx of the second finger of his left hand due to a shotgun. The skin was closed with a pedicled groin flap. At the end of the 15th day, the flap was separated and it was observed that the flap maintained its viability. After 10 years of follow-up, he complained of swelling and pain in the area where the fingertip flap was applied. As a result of the examinations, it was seen that there was a cystic formation. The cyst was excised and the pathology was reported as epidermoid cyst. No problems or recurrences were observed in the flap area during follow-up. In our case of a rare epidermoid cyst developing years after a groin flap, total excision was successfully performed, preserving the flap's viability and achieving a successful surgical outcome. Epidermoid cyst development after groin flap surgery is extremely rare. Total excision of the cyst is important for treatment and prevention of relapses.

Key words: Defect, epidermoid cyst, finger, groin flap