Basal cell carcinoma bcc is the most common skin cancer. 1 the separation of epidermal and dermal connections of the flap resulting in an island of skin and 2 the preservation of a subcutaneous pedicle consisting of subcutaneous fat muscle and occasionally superficial musculoaponeurotic system which provides the flap.
A Schematic Drawing Of The V Y Advancement Flap That Was Outlined For Download Scientific Diagram
This technique has been used to treat 69 patients with various lesions of the face 30 basal cell carcinoma 9 squamous cell carcinoma 18 nevus 4 traumatic defect 3 old scar and 5 others during the past seven years.
Vy advancement flap face. Subcutaneous pedicle flaps are classified as the former 2 types. 4 the advanced tissue has many similarities including color thickness hair growth and texture to the area being reconstructed and this contributes to acceptable esthetic outcomes. A procedure for the coverage of surgically created supratip defects up to 1 5 cm in diameter is described utilizing a vy bipedicle flap.
We have evaluated the versatility of v y perforator flap for reconstruction of skin defects after. The v y advancement flap is commonly used to reconstruct small defects particularly on the face where there is ample and mobile adjacent tissue. Previously this flap was also commonly referred to as the island pedicle flap due to its two main requirements.
Many surgeons prefer to use a local flap rather than a skin graft or free flap for small or moderately sized circular defects. Due to flap advancement torsion is slight and the scar area can be reduced. V y advancement flaps based on subcutaneous pedicles are an ideal option for closure of small to medium sized facial defects.
After excision of bcc on the face the options of treatment for a skin defect are variable. The v y subcutaneous pedicle flap is a typical advancement flap wherein the normal skin area resected as the dog ear in primary closure can be utilized as the main body of the flap. Y advancement flaps especially on the face.
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