We read with great interest the article from Aoki et al.
1in which they introduced the concept of using a flap-in-flap for enhancing the advancement of V–Y flap.
- Aoki R.
- Pennington D.G.
- Hyakusoku H.
Flap-in-flap method for enhancing the advancement of a V–Y flap.
JPRAS. 2006; 59: 653-657
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- Flap-in-flap method for enhancing the advancement of a V–Y flap.JPRAS. 2006; 59: 653-657
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Published online: November 24, 2006
Accepted: July 26, 2006
Received: July 14, 2006
© 2006 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
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- Flap-in-flap method for enhancing the advancement of a V–Y flapJournal of Plastic, Reconstructive & Aesthetic SurgeryVol. 59Issue 6
- PreviewThe V–Y principal is used in a number of flap reconstruction techniques. V–Y flaps suffer from design problems of the advancing edge, which is usually concave, trying to match another concave edge on the opposite side of the defect. The flap-in-flap technique uses a second V–Y flap at the advancing edge of the main flap to overcome this mismatch, and also improves the amount of advancement possible. The technique has been used in three patients, demonstrating reliability and a further advantage, which is the ability of the second flap to rotate at an angle to the main flap to aid in reconstructing a complex defect such as the alar base of the nose.