Terashi H, Kurata S, Hashimoto H, Tadokoro T, Miura Y, Sato H, Matsuo Y
Department of Dermatology, Oita Medical University, Japan.
Ann Plast Surg. 1997 Feb;38(2):147-50.
The extended V-Y flap, a modified V-Y advancement flap, is very useful in closing relatively large defects on the face. Its extension limb is hinged down as a transposition flap on the end of the V-Y advancement flap to close the most distal portion of the defect. We applied this flap in closing a defect following excision of skin tumors on the face with excellent cosmetic results in 11 patients. However, this flap tended to make a distortion at the base of the flap in the primary closure site. By drawing figures, we concluded that the distortion was due to the characteristic of this technique as a V-Y advancement-rotation flap or V-Y advancement flap with rotation.
延长V-Y皮瓣是一种改良的V-Y推进皮瓣，在闭合面部相对较大的缺损时非常有用。其延长臂作为移位皮瓣铰接在V-Y推进皮瓣末端，以闭合缺损的最远端部分。我们应用此皮瓣闭合面部皮肤肿瘤切除术后的缺损，11例患者均获得了极佳的美容效果。然而，该皮瓣在一期闭合部位的皮瓣基部容易出现变形。通过绘图，我们得出结论，这种变形是由于该技术作为V-Y推进-旋转皮瓣或带旋转的V-Y推进皮瓣的特性所致。
