Department of Dermatology, University of Pennsylvania, Philadelphia, PA, United States.
Division of Dermatologic Surgery, Department of Dermatology, University of Pennsylvania, Philadelphia, PA, United States.
J Plast Reconstr Aesthet Surg. 2022 Sep;75(9):3406-3413. doi: 10.1016/j.bjps.2022.06.035. Epub 2022 Jun 20.
When traditional V-Y advancement flaps cannot span cutaneous defects, the modified Pacman™ V-Y advancement flap (Pacman™ VYAF) design increases its utility for challenging facial defects.
To describe the usage and surgical outcomes of Mohs micrographic surgery (MMS) defects repaired with the Pacman™ VYAF.
A retrospective review was performed on MMS defects repaired with the Pacman™ VYAF in the division of dermatologic surgery at a large academic institution between January 01, 2013 and August 01, 2019.
Twenty-nine instances of Pacman™ VYAF reconstructions were identified. Reconstruction of the cheek (22/29, 76%) was the most common, followed by the temple (4/29, 14%), and the post-auricular neck (3/29, 10%). Distal flap necrosis occurred more frequently in large Pacman™ VYAF repairs (6/29, 21% of cases), requiring surgical revision in 1 case. Surgical scars from the Pacman™ VYAF are rated favorably by dermatologic surgeons.
The Pacman™ VYAF is a useful reconstruction option for surgical defects of the head and neck, and it is advantageous compared to traditional V-Y advancement flaps for defects with length greater than width.
当传统的 V-Y 推进皮瓣无法跨越皮肤缺损时，改良的 Pacman™ V-Y 推进皮瓣（Pacman™ VYAF）设计增加了其用于修复具有挑战性的面部分区缺损的实用性。
描述 Mohs 显微外科手术（MMS）缺损修复中使用 Pacman™ VYAF 的情况和手术结果。
对 2013 年 1 月 1 日至 2019 年 8 月 1 日期间在大型学术机构的皮肤科手术分部中使用 Pacman™ VYAF 修复的 MMS 缺损进行回顾性研究。
确定了 29 例 Pacman™ VYAF 重建病例。重建部位以面颊（22/29，76%）最常见，其次是颞部（4/29，14%）和耳后颈部（3/29，10%）。较大的 Pacman™ VYAF 修复中远端皮瓣坏死更常见（29/29，6 例，占 21%），1 例需要手术修正。皮瓣手术瘢痕得到皮肤科医生的好评。
Pacman™ VYAF 是头颈部手术缺损的一种有用的重建选择，与传统的 V-Y 推进皮瓣相比，对于长度大于宽度的缺损更具优势。
