title: Bilateral, extended V-Y advancement flap.
abstract: A modification of the V-Y advancement flap for the closure of circular skin defects is presented to decrease the tension in the closure and to break the midline vertical scar. Bilateral, extended V-Y advancement flaps with additional limbs extending to the advancing edges of the standard flaps were marked on both sides of the wound. After advancement of the V-Y flaps on their subcutaneous pedicle, the upper and lower extensions were hinged downward as transposition flaps to close the middle portion of the circular defect, where maximum tension occurs. This procedure was applied to 10 patients with sacral and trochanteric pressure sores. No complications or recurrences were noted during the 2 to 10 months of follow-up. Bilateral, extended V-Y advancement flaps enable the reconstruction of large defects without midline tension. Also, the resulting scar where the flaps meet is a zigzag line, so a straight midline scar is avoided.
authors.affiliation: Department of Plastic & Reconstructive Surgery, Ankara Numune Hospital, Turkey.
authors.forename: M G
authors.initials: MG
authors.lastname: Ulusoy
authors.forename: I M
authors.initials: IM
authors.lastname: Akan
authors.forename: O
authors.initials: O
authors.lastname: Sensöz
authors.forename: R
authors.initials: R
authors.lastname: Ozdemir
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D003668:Pressure Ulcer / Q000601:surgery*; D013524:Surgical Flaps; D013536:Suture Techniques; D014945:Wound Healing