A combined V-Y advancement-turnover flap for simuttaneous perialar and alar reconstruction

Feinendegen, Dominik L.; Langer, Martin; Gault, David

doi:10.1054/bjps.2000.3326

Cited by 22 publications

(13 citation statements)

References 11 publications

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“…Compared with other skin areas in the body, the vascularization of the facial skin is stronger; this is especially true for the forehead, which is vascularized through branches of the ophthalmic artery (internal carotid) and temporal artery (external carotid). Furthermore, in reference to the brow, the dense intra- and subdermal arterial plexus 24 – 26 allows a thin dermal preparation without the risk of necrosis.…”

Section: Discussionmentioning

confidence: 99%

Flat Incision Technique for Reconstructive Brow Surgery: A Wound Healing Model and Clinical Evaluation

Feinendegen

Tremp

Roldán

2018

Plastic and Reconstructive Surgery - Global Open

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Background:Skin incision is considered to be placed at 90° in reference to the skin to get perfect wound edge adaptation. The incision on hair-bearing tissues, as the scalp, is considered to be bevelled at 45° to promote hair growth through the scar. There is no consensus about the preferred incision angle on the brow. The aim of this article was to demonstrate the feasibility of the “flat incision technique” for brow repositioning, where brow deformation results after forehead reconstruction. A wound-healing model for the bevelled incision is presented.Methods:Brow incisions are bevelled with an angle of 20°. The lower incision is placed inside the brow so that the upper 2 rows of hair are included; the dermis is completely transected and dissection is continued into the subdermal plane. The procedure is presented in a patient who underwent resection of the forehead due to melanoma.Results:The bevelled incision increases the surface area of dermal layer by a factor of 2 compared with the standard vertical skin incision at 90°. Loss of the dermal tissue integrity and continuity due to trauma hinders the recovery of cell migration and function, resulting in a more prominent scar formation. It appears reasonable that with the increased surface area of the dermal layers in the wound edges, the scar quality improves. The case study demonstrates the feasibility of the procedure.Conclusion:The bevelled 20° incision for brow repositioning and reshaping showed to be a viable and predictable procedure.

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Section: Discussionmentioning

confidence: 99%

Flat Incision Technique for Reconstructive Brow Surgery: A Wound Healing Model and Clinical Evaluation

Feinendegen

Tremp

Roldán

2018

Plastic and Reconstructive Surgery - Global Open

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“…This technique has widely been used for nose reconstruction, particularly for defects of the nose dorsum and also for nostril by advancing adjacent soft tissue, thereby achieving wound closure while minimizing tension. 20 – 22 The advantage of this technique is that color and texture perfectly match because adjacent soft tissue is used. Another advantage of this design is the ability to close the secondary defect primarily.…”

Section: Discussionmentioning

confidence: 99%

Refinement of Nasal Reconstruction with a V/Y-alar-perforator Flap

Feinendegen

Langer

Roldán

2017

Plastic and Reconstructive Surgery - Global Open

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Background:The ala of the nose is vascularized by a dense net of perforators originating from the lateral nasal artery or the angular artery. These vessels reach the ala in a cascade fashion from the alar groove/lateral nasal wall. Based on these vessels, a V/Y flap can be dissected with a wide range of mobility.Materials and Methods:Nineteen patients underwent reconstruction of the nose by means of a V/Y-alar-perforator flap alone or in combination with a myocutaneous rotation flap from the lateral nasal wall and/or from the nasal dorsum for reconstruction of defects at the nasal tip, ala of the nose, and/or lateral nasal wall. All patients were followed up 8 months after surgery in average.Results:There was no prolonged congestion or any tissue loss. All patients presented postoperatively with excellent aesthetic results, and no nasal distortion was observed.Conclusion:The V/Y-alar-perforator flap alone or in combination with a myocutaneous rotation flap proved to be a reliable tool in the armamentarium for reconstruction of nasal tip and alar defects providing good aesthetic results.

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“…A V-Y advancement flap from the cheek is the main body of a flap that is combined with a turnover flap from the nasolabial fold to reconstruct full-thickness ala nasi defects, especially in elderly patients (11).…”

Section: Discussionmentioning

confidence: 99%

A Congenital Alar Defect and Its Reconstruction

Yenidünya¹,

Riasa²

2016

Med J Islamic World Acad Sci

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Congenital anomalies of the nose are very rare and include the bifid nose, complete absence of the nose, and unilateral absence of the nose.A 23-year-old medical school student was diagnosed with a rare congenital nasal anomaly including left alar full-thickness defect.Under general anesthesia, a posteroinferiorly based V-Y flap was selected to cover the outer surface. To make the inner lining, another anteroinferiorly based V-Y flap from the internal coverage tissue was elevated, including alar cartilages remnants and soft tissues around it. These two V-Y flaps were called double-opposing V-Y flaps. To support the alar wing, a cartilaginous graft was inserted taken from the anterior septal edge.The treatments of the nasal alar defects resulting from oncological surgery and those from congenital anomalies significantly differ. The expectations of the patients from the surgery are higher in the second situation than in the first one. A technique using minimal donor site morbidity should be searched.

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A combined V-Y advancement-turnover flap for simuttaneous perialar and alar reconstruction

Cited by 22 publications

References 11 publications

Flat Incision Technique for Reconstructive Brow Surgery: A Wound Healing Model and Clinical Evaluation

Flat Incision Technique for Reconstructive Brow Surgery: A Wound Healing Model and Clinical Evaluation

Refinement of Nasal Reconstruction with a V/Y-alar-perforator Flap

A Congenital Alar Defect and Its Reconstruction

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