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Related Experiment Videos

Pacman flap method.

Ritsu Aoki1, Hiko Hyakusoku

  • 1Tokyo, Japan From the Department of Plastic, Reconstructive, and Aesthetic Surgery, Nippon Medical School.

Plastic and Reconstructive Surgery
|April 19, 2007
PubMed
Summary
This summary is machine-generated.

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Clinics in plastic surgery·2016

A novel V-Y flap technique effectively closes round skin defects by rotating triangular parts, offering a superior alternative for reconstructive surgery. This method ensures complete flap survival and avoids secondary procedures.

Area of Science:

  • Plastic Surgery
  • Dermatology
  • Surgical Innovation

Background:

  • The V-Y flap is a standard technique for closing circular skin defects.
  • Conventional V-Y flaps may have limitations in flap advancement, particularly in areas with minimal subcutaneous tissue.

Purpose of the Study:

  • To introduce a modified V-Y flap technique for improved closure of round skin defects.
  • To address the limitations of conventional V-Y flaps in specific anatomical locations.

Main Methods:

  • A modified V-Y flap technique was developed, retaining the basic V-Y design.
  • Instead of excising the triangular V-flaps, these segments are rotated and advanced to the center of the defect.

Main Results:

  • The modified technique was successfully applied to 18 patients.

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  • Complete flap survival was observed in all cases.
  • No instances of dog-ear deformity requiring secondary correction were reported.

    • Conclusions:

    • The modified V-Y flap technique is simple and versatile for various clinical scenarios.
    • This method is recommended as a primary option for the closure of circular skin defects.