Extended V-Y flap: patient reports and reconsideration.
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.
Terashi
H
H
Department of Dermatology, Oita Medical University, Japan.
Kurata
S
S
Hashimoto
H
H
Tadokoro
T
T
Miura
Y
Y
Sato
H
H
Matsuo
Y
Y
D000368:Aged; D000369:Aged, 80 and over; D000772:Anesthesia, Local; D002280:Basal Cell Carcinoma / Q000601:surgery; D005153:Facial Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D018295:Neoplasms, Basal Cell / Q000601:surgery; D011230:Precancerous Conditions / Q000601:surgery*; D012878:Skin Neoplasms / Q000601:surgery*; D013524:Surgical Flaps / Q000379:methods*