Jain Neelesh P, Neill Brett C, Garvey Christopher, Leitenberger Justin J
Dermatology, University of Connecticut, Farmington, USA.
Dermatology, Oregon Health & Science University, Portland, USA.
Cureus. 2023 Sep 15;15(9):e45314. doi: 10.7759/cureus.45314. eCollection 2023 Sep.
Medium to large defects on the dorsal hand pose a reconstructive challenge following dermatologic surgery. Repairs in this location can be complicated by a paucity of adjacent tissue reservoirs, competing tension vectors, thin cutaneous tissue, and superficial tendons and vasculature. In such cases, a double V-Y island pedicle flap is an effective reconstructive solution. It preserves hand function, harnesses local tissue with a robust blood supply, facilitates complete closure, and provides skin that closely matches the original's color and texture. Here, we present the repair of a medium to large dorsal hand defect after Mohs micrographic surgery for melanoma in situ, using a double V-Y island pedicle flap.
手部背部中到大型缺损在皮肤科手术后会带来重建挑战。该部位的修复可能因相邻组织储备不足、相互竞争的张力向量、薄的皮肤组织以及浅表肌腱和血管而变得复杂。在这种情况下，双V-Y岛状蒂皮瓣是一种有效的重建解决方案。它保留手部功能，利用血供丰富的局部组织，便于完全闭合，并提供与原皮肤颜色和质地紧密匹配的皮肤。在此，我们展示了使用双V-Y岛状蒂皮瓣修复原位黑色素瘤Mohs显微外科手术后手部背部中到大型缺损的病例。
