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V-Y advancement flap for facial defects
1Division of Plastic and Reconstructive Surgery, Kaohsiung Medical College, Taiwan, Republic of China.
Gaoxiong Yi Xue Ke Xue Za Zhi = the Kaohsiung Journal of Medical Sciences
|September 1, 1990
Summary
V-Y advancement flaps provide reliable closure for facial defects, offering excellent cosmetic results with no flap necrosis. This technique is recommended for selected facial reconstructions due to its ease of use and patient satisfaction.
Area of Science:
- Plastic Surgery
- Dermatologic Surgery
Background:
- Facial defects require reconstructive techniques that prioritize both function and aesthetics.
- V-Y advancement flaps offer a versatile method for addressing various facial defects.
Purpose of the Study:
- To evaluate the efficacy and outcomes of V-Y advancement flaps in reconstructing small to medium-sized facial defects.
- To assess the reliability, ease of execution, and cosmetic satisfaction associated with this surgical technique.
Main Methods:
- A retrospective review of 69 patients undergoing V-Y advancement flap reconstruction for facial defects over seven years.
- Flap design prioritized alignment with facial lines (wrinkle, contour, dependency) to minimize distortion.
Main Results:
- No flap necrosis was observed in any of the 69 cases.
- All wounds healed uneventfully with satisfactory scar quality, requiring no secondary operations.
- Excellent cosmetic outcomes were achieved, with good color and texture matching and no distortion of critical facial features.
Conclusions:
- V-Y advancement flaps are a reliable and effective option for reconstructing selected facial defects.
- The technique offers advantages in terms of vascularity, ease of design, execution, and superior cosmetic results.
- This method is recommended for achieving optimal functional and aesthetic outcomes in facial defect repair.