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Modified bilateral advancement flap: the slide-in flap.
I M Akan1, M G Ulusoy, B T Bilen
1Department of Plastic & Reconstructive Surgery, 2nd Plastic & Reconstructive Surgery Clinic, Ankara Numune Hospital, Turkey.
Annals of Plastic Surgery
|May 26, 1999
Summary
This study modified the bilateral V-Y advancement flap for circular skin defects, reducing closure tension. The technique successfully repaired large defects in 10 patients with no complications.
Area of Science:
- Plastic Surgery
- Dermatologic Surgery
Background:
- Bilateral V-Y advancement flaps are standard for circular skin defect closure.
- Standard techniques can result in significant tension along the closure line.
Purpose of the Study:
- To present a modified bilateral V-Y advancement flap technique.
- To reduce tension in the closure of circular skin defects.
- To evaluate the efficacy of this modified technique.
Main Methods:
- A modified bilateral V-Y advancement flap technique was developed.
- Flap extensions were designed to be broader and curved outward.
- Tissue transposition and advancement principles were combined for closure.
- The technique was applied to 10 patients between 1995 and 1997.
Main Results:
- The modified technique effectively redistributed tissue, allowing for the repair of relatively large circular skin defects.
- Reduced tension along the closure line was observed.
- All 10 patients achieved satisfactory results.
- No surgical complications were reported in this series.
Conclusions:
- The modified bilateral V-Y advancement flap technique offers an effective method for closing circular skin defects.
- This approach minimizes closure tension and achieves satisfactory outcomes.
- The technique is a valuable modification for plastic and reconstructive surgery.