Ulusoy M G, Akan I M, Sensöz O, Ozdemir R
Department of Plastic & Reconstructive Surgery, Ankara Numune Hospital, Turkey.
Ann Plast Surg. 2001 Jan;46(1):5-8. doi: 10.1097/00000637-200101000-00002.
A modification of the V-Y advancement flap for the closure of circular skin defects is presented to decrease the tension in the closure and to break the midline vertical scar. Bilateral, extended V-Y advancement flaps with additional limbs extending to the advancing edges of the standard flaps were marked on both sides of the wound. After advancement of the V-Y flaps on their subcutaneous pedicle, the upper and lower extensions were hinged downward as transposition flaps to close the middle portion of the circular defect, where maximum tension occurs. This procedure was applied to 10 patients with sacral and trochanteric pressure sores. No complications or recurrences were noted during the 2 to 10 months of follow-up. Bilateral, extended V-Y advancement flaps enable the reconstruction of large defects without midline tension. Also, the resulting scar where the flaps meet is a zigzag line, so a straight midline scar is avoided.
本文介绍了一种改良的V-Y推进皮瓣，用于闭合圆形皮肤缺损，以降低闭合时的张力并打破中线垂直瘢痕。在伤口两侧标记双侧延伸的V-Y推进皮瓣，其额外的肢体延伸至标准皮瓣的推进边缘。在V-Y皮瓣通过皮下蒂推进后，上下延伸部分作为易位皮瓣向下铰接，以闭合圆形缺损的中间部分，此处张力最大。该手术应用于10例骶部和转子部压疮患者。在2至10个月的随访期间未观察到并发症或复发。双侧延伸的V-Y推进皮瓣可在无中线张力的情况下重建大的缺损。此外，皮瓣相遇处形成的瘢痕是一条之字形线，从而避免了直的中线瘢痕。
