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The extended V-Y flap
J J Pribaz1, C H Chester, D T Barrall
1Division of Plastic Surgery, Harvard Medical School, Brigham and Women's Hospital, Boston, Mass.
Plastic and Reconstructive Surgery
|August 1, 1992
Summary
The extended V-Y flap effectively reconstructs facial defects by adding a transpositional limb. This modification enhances closure for large defects, especially where tissue is limited, yielding excellent cosmetic outcomes.
Area of Science:
- Plastic Surgery
- Dermatologic Surgery
Background:
- Facial defects from lesion excision pose reconstruction challenges.
- Standard V-Y advancement flaps have limitations in mobilizing tissue for large defects.
Purpose of the Study:
- To describe and evaluate the extended V-Y flap technique.
- To assess its efficacy in reconstructing complex facial defects.
Main Methods:
- Modification of the standard V-Y advancement flap by adding an extension limb.
- Utilizing this limb as a transposition flap for distal defect closure.
- Application in various facial areas including temporal, scalp, forehead, and nasal regions.
Main Results:
- The extended V-Y flap effectively closes large facial defects.
- It is particularly useful in areas with limited subcutaneous tissue.
- Excellent cosmetic results and aesthetically pleasing reconstructions were achieved.
Conclusions:
- The extended V-Y flap is a valuable modification for facial defect reconstruction.
- It offers improved reconstructive capabilities compared to the standard V-Y flap.
- This technique provides superior aesthetic outcomes in challenging anatomical locations.