Dölen Utku Can, Koçer Uğur
Department of Plastic Surgery, Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Ankara, Turkey.
Department of Plastic Surgery, Ankara Training and Research Hospital, Ankara, Turkey.
Arch Plast Surg. 2018 Jan;45(1):85-88. doi: 10.5999/aps.2017.00171. Epub 2017 Oct 27.
Local flaps exhibit excellent color matching that no other type of flap can compete with. Moreover, surgery using a local flap is easier and faster than surgery using a distant or free flap. However, local flaps can be much more difficult to design. We designed 2 templates to plan a V-Y rotation advancement flap. The template for a unilateral V-Y rotation advancement flap was used on the face (n=5), anterior tibia (n=1), posterior axilla (n=1), ischium (n=1), and trochanter (n=2). The template for a bilateral flap was used on the sacrum (n=8), arm (n=1), and anterior tibia (n=1). The causes of the defects were meningocele (n=3), a decubitus ulcer (n=5), pilonidal sinus (n=3), and skin tumor excision (n=10). The meningocele patients were younger than 8 days. The mean age of the adult patients was 50.4 years (range, 19-80 years). All the donor areas of the flaps were closed primarily. None of the patients experienced wound dehiscence or partial/total flap necrosis. The templates guided surgeons regarding the length and the placement of the incision for a V-Y rotation advancement flap according to the size of the wound. In addition, they could be used for the training of residents.
局部皮瓣具有出色的颜色匹配效果，这是其他类型皮瓣无法比拟的。此外，使用局部皮瓣进行手术比使用远位皮瓣或游离皮瓣更容易、更快。然而，局部皮瓣的设计可能要困难得多。我们设计了2种模板来规划V-Y旋转推进皮瓣。单侧V-Y旋转推进皮瓣模板用于面部（n = 5）、胫骨前部（n = 1）、腋窝后部（n = 1）、坐骨（n = 1）和转子（n = 2）。双侧皮瓣模板用于骶骨（n = 8）、手臂（n = 1）和胫骨前部（n = 1）。缺损原因包括脊膜膨出（n = 3）、褥疮（n = 5）、藏毛窦（n = 3）和皮肤肿瘤切除（n = 10）。脊膜膨出患者年龄小于8天。成年患者的平均年龄为50.4岁（范围19 - 80岁）。所有皮瓣的供区均一期缝合。所有患者均未出现伤口裂开或部分/全部皮瓣坏死。这些模板可根据伤口大小指导外科医生确定V-Y旋转推进皮瓣切口的长度和位置。此外，它们还可用于住院医师培训。
