Flexible Curved V-Y Subcutaneous Flap for Facial Skin Defects.

作者信息

Ito Osamu, Yano Tomoyuki, Kawazoe Takeshi, Suzuki Shigehiko

机构信息

Department of Plastic and Reconstructive Surgery, Yokohama City Minato Red Cross Hospital, Kanagawa, Japan; and Department of Plastic and Reconstructive Surgery, Kyoto University, Kyoto, Japan.

出版信息

Plast Reconstr Surg Glob Open. 2015 Oct 9;3(10):e531. doi: 10.1097/GOX.0000000000000499. eCollection 2015 Oct.

DOI:10.1097/GOX.0000000000000499

PMID:26579337

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4634168/

Abstract

UNLABELLED

We devised an improved type of the V-Y subcutaneous pedicle flap with the elements of both advancement and rotation flaps. This flexible curved V-Y subcutaneous flap was used for facial skin defect reconstruction in 15 patients. Curved flaps were designed according to the elasticity of the surrounding skin and the postoperative scar direction.

RESULTS

In all the 15 patients, the flap survived without circulatory impairment, and follow-up for more than 1 year indicated an inconspicuous scar and good course.

CONCLUSIONS

With elements of both advancement and rotation flaps, transfer and wound closure of the flexible curved V-Y subcutaneous flap are easy. In addition, the postoperative scar can be positioned along natural wrinkle lines and relaxed skin tension lines. This may be a useful local flap for facial and general plastic surgery.

摘要