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Case report| Volume 60, ISSUE 11, P1244-1247, November 2007

Transposition movement of V–Y flaps for facial reconstruction

Published:January 17, 2007DOI:https://doi.org/10.1016/j.bjps.2006.10.011

      Summary

      Background

      The V–Y advancement flap has been widely used for the reconstruction of cutaneous defects for decades; however, the movement of a V–Y flap is sometimes limited, allowing only for rotation or advancement movement. To overcome this limitation, the present study introduces a transposition movement of the V–Y flap and assesses its clinical outcome for facial reconstruction.

      Materials and methods

      A modified V–Y flap was designed with a single laterally based pedicle and transferred to the defect through a transposition movement. The transposition movement was demonstrated with photographs and the clinical outcome was described in six patients.

      Results

      This modified V–Y flap was reliable and robust, and could be moved easily with less tension. Meanwhile, the flap allowed for a primary closure of the defects along the nasolabial fold or preauricular crease. More importantly, all six patients achieved satisfactory functional and cosmetic outcomes in facial reconstruction. Temporary sensory alteration was common in the flap skin during the initial postoperative period, but improved as time passed and disappeared about 6 months later.

      Conclusion

      This modified transposition V–Y flap may serve as an alternative option for aesthetic reconstruction of facial defects.

      Keywords

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      References

        • Barron J.N.
        • Emmett A.J.J.
        Subcutaneous pedicle flaps.
        Br J Plast Surg. 1965; 18: 51-78
        • Ono I.
        • Gunji H.
        • Sato M.
        • et al.
        Use of the oblique island flap in excision of small facial tumors.
        Plast Reconstr Surg. 1993; 91: 1245-1251
        • Chan S.T.
        A technique of undermining a V–Y subcutaneous island flap to maximise advancement.
        Br J Plast Surg. 1988; 41: 62-67
        • Pribaz J.J.
        • Chester C.H.
        • Barrall D.T.
        The extended V–Y flap.
        Plast Reconstr Surg. 1992; 90: 275-280
        • Pontes L.
        • Ribeiro M.
        • Vrancks J.J.
        • et al.
        The new bilaterally pedicled V–Y advancement flap for face reconstruction.
        Plast Reconstr Surg. 2002; 109: 1870-1874
        • Skaria A.M.
        Refinement of the island pedicle flap: parallel placed release incisions to increase translation movement.
        Dermatol Surg. 2004; 30: 1595-1598
        • Hairston B.R.
        • Nguyen T.H.
        Innovations in the island pedicle flap for cutaneous facial reconstruction.
        Dermatol Surg. 2003; 29: 378-385
        • Li J.H.
        • Xing X.
        • Ouyang T.X.
        • et al.
        An innovation in the subcutaneous island pedicle flap for cutaneous reconstruction.
        J Plast Reconstr Aesthet Surg. 2006; 59: 174-180