Related Experiment Videos
Extended V-Y flap: patient reports and reconsideration
H Terashi1, S Kurata, H Hashimoto
1Department of Dermatology, Oita Medical University, Japan.
Annals of Plastic Surgery
|February 1, 1997
Summary
The extended V-Y flap effectively closes large facial defects after skin tumor removal, yielding excellent cosmetic outcomes. Minor distortion at the flap base is noted, attributed to its advancement-rotation technique.
Area of Science:
- Plastic Surgery
- Dermatologic Surgery
- Reconstructive Surgery
Background:
- Facial defects from skin tumor excision often require complex closure techniques.
- The V-Y advancement flap is a common method, but modifications are explored for larger defects.
Observation:
- The extended V-Y flap incorporates a transpositional limb to address distal defect portions.
- This modified flap was utilized in 11 patients undergoing facial skin tumor removal.
Findings:
- Excellent cosmetic results were achieved in all 11 patients using the extended V-Y flap.
- A characteristic distortion was observed at the primary closure site's base.
Implications:
- The extended V-Y flap is a viable option for large facial defect reconstruction with good aesthetics.
- Understanding the flap's rotational component is key to mitigating closure site distortion.