Short reports and correspondence| Volume 60, ISSUE 2, P213-215, February 2007

‘Fish mouth’ modification for enhancing the advancement of V–Y flap

Published:November 24, 2006DOI:
      We read with great interest the article from Aoki et al.
      • Aoki R.
      • Pennington D.G.
      • Hyakusoku H.
      Flap-in-flap method for enhancing the advancement of a V–Y flap.
      in which they introduced the concept of using a flap-in-flap for enhancing the advancement of V–Y flap.
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      Linked Article

      • Flap-in-flap method for enhancing the advancement of a V–Y flap
        Journal of Plastic, Reconstructive & Aesthetic SurgeryVol. 59Issue 6
        • Preview
          The 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.
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