Subcutaneous pedicle flaps

Barron, John N.; Emmett, A.J.J.

doi:10.1016/s0007-1226(65)80005-4

Cited by 198 publications

(67 citation statements)

References 5 publications

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“…Small lower leg defects between 10 and 35 mm are candidates for a local subcutaneous flap, including bilateral V-Y advancement flaps. Most of these flaps use a randompattern subcutaneous pedicle [3,4,12,13], and attempts have been made to include the deep fascia, hoping for better perfusion. Hallock [14] reported so-called random fasciocutaneous flaps that included adequate deep fascia for small or moderate-sized defects.…”

Section: Discussionmentioning

confidence: 99%

“…In this technique, triangular flaps based on nutrient pedicles in subcutaneous tissue are usually elevated. Although these random flaps have been proven to have excellent vascularity in the facial region [3,4], repair of the extremities using these flaps has been regarded as more difficult than reconstructions elsewhere in the body because of poor blood supply and the pressure effects of dependency [5]. We performed bilateral V-Y advancement flaps in 24 patients with small aaps Archives of Aesthetic Plastic Surgery VOLUME 23.…”

Section: Introductionmentioning

confidence: 99%

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Feasibility and Aesthetic Results of Small Bilateral V-Y Advancement Flaps in the Extremities and Back

Kim

Choi

Moon

et al. 2017

Arch Aesthetic Plast Surg

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INTRODUCTIONThe most common pattern used for the management of skin tumors or circular skin defects is elliptical excision and closure. This technique is simple and easy, but healthy skin in the corner of the defect is also removed, and it can leave a central depression with dog ears at its ends. Furthermore, these problems are exacerbated when an elliptical excision is performed in a region with insufficient skin redundancy, such as the pretibial region or the heel.Bilateral V-Y advancement flaps have been widely used to reconstruct facial defects [1,2]. These flaps simplify and ease mapping and the operative procedure. Moreover, they show good color and texture harmony because nearby tissue is used. In this technique, triangular flaps based on nutrient pedicles in subcutaneous tissue are usually elevated. Although these random flaps have been proven to have excellent vascularity in the facial region [3,4], repair of the extremities using these flaps has been regarded as more difficult than reconstructions elsewhere in the body because of poor blood supply and the pressure effects of dependency [5]. We performed bilateral V-Y advancement flaps in 24 patients with small Background Random type small V-Y advancement flap is widely used for facial reconstruction with advantages including good color and texture match. However, the flap is not as widely used in the extremities and back as in the face because of apprehension of the relatively poor vascularity as a risk factor of flap necrosis. We used a small bilateral V-Y advancement flap for the repair of extremity and back defects from various causes. Competent clinical outcomes are described. Methods Between 2007 and 2014, 24 patients (48 flaps) with skin defects in the upper or lower extremities and back were enrolled. The site of the defect was on back (n=6), forearm (n=7), upper arm (n=2), lower leg (n=5), thigh (n=3), and axilla (n=1). Results Among the 48 flaps, 47 survived (no event: 42 flaps, total necrosis: 1 flap, partial necrosis: 5 flaps). All partial necrotized flaps healed in 3-4 weeks with conservative care. However, debridement and skin grafting was required for the total necrosis flap. One total necrosis and two partial necroses occurred on the anterolateral side of the lower leg. Two partial necroses occurred on the paraspinal area. Conclusions Contour deformities including central depression and the dog-ear deformity were not observed. Small bilateral V-Y advancement in the extremity and back could be a safe and useful flap, if thick subcutaneous fat and subcutaneous plexus were saved. But areas with thin subcutaneous fat layer, such as the anterolateral lower leg, are poor candidates and carry the increased risk of improper subcutaneous pedicle circulation.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Feasibility and Aesthetic Results of Small Bilateral V-Y Advancement Flaps in the Extremities and Back

Kim

Choi

Moon

et al. 2017

Arch Aesthetic Plast Surg

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“…El colgajo nasolabial ha sido uno de los más usados para la reparación de esta entidad en sus múltiples variantes (10)(11)(12). Se trata de un colgajo seguro, pero que deja una cicatriz externa visible en los pacientes pediátricos.…”

Section: Discussionunclassified

Colgajo FAMM para reconstrucción de fístulas de paladar en pacientes con fisura palatina congénita: experiencia y resultados

López-Sánchez

Berenguer-Fröhner

González-Meli

et al. 2014

Cir. plást. iberolatinoam.

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“…12 The first example of this kind of flap being used in eyelid reconstruction was published by Zook et al in 1980. 13 In this article the authors reported the use of a VeY vertical cutaneous flap in a patient for lower eyelid reconstruction.…”

Section: Discussionmentioning

confidence: 99%

“…1,11 Patients and methods From January 2000 through May 2009, 16 patients with locally advanced malignant tumours of the upper eyelid underwent surgical resection by the senior author. Most of these tumours (12) were basal cell carcinomas. There were also two cases of squamous cell carcinomas, one case of sebaceous cell carcinoma and one of malignant melanoma.…”

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confidence: 99%

Upper eyelid reconstruction with a horizontal V–Y myotarsocutaneous advancement flap

Rosa

Casal

Moniz

2010

Journal of Plastic, Reconstructive & Aesthetic Surgery

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Summary Upper eyelid tumours, particularly basal cell carcinomas, are relatively frequent. Surgical ablation of these lesions creates defects of variable complexity. Although several options are available for lower eyelid reconstruction, fewer surgical alternatives exist for upper eyelid reconstruction. Large defects of this region are usually reconstructed with two-step procedures. In 1997, Okada et al. described a horizontal VeY myotarsocutaneous advancement flap for reconstruction of a large upper eyelid defect in a single operative time. However, no further studies were published regarding the use of this particular flap in upper eyelid reconstruction. In addition, this flap is not described in most plastic surgery textbooks.The authors report here their experience of 16 cases of horizontal VeY myotarsocutaneous advancement flaps used to reconstruct full-thickness defects of the upper eyelid after tumour excision. The tumour histological types were as follows: 12 basal cell carcinomas, 2 cases of squamous cell carcinomas, 1 case of sebaceous cell carcinoma and 1 of malignant melanoma.This technique allowed closure of defects of up to 60% of the eyelid width. None of the flaps suffered necrosis. The mean operative time was 30 min. No additional procedures were necessary as good functional and cosmetic results were achieved in all cases. No recurrences were noted.In this series, the horizontal VeY myotarsocutaneous advancement flap proved to be a technically simple, reliable and expeditious option for reconstruction of full-thickness upper eyelid defects (as wide as 60% of the eyelid width) in a single operative procedure. In the future this technique may become the preferential option for such defects.

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Subcutaneous pedicle flaps

Cited by 198 publications

References 5 publications

Feasibility and Aesthetic Results of Small Bilateral V-Y Advancement Flaps in the Extremities and Back

Feasibility and Aesthetic Results of Small Bilateral V-Y Advancement Flaps in the Extremities and Back

Colgajo FAMM para reconstrucción de fístulas de paladar en pacientes con fisura palatina congénita: experiencia y resultados

Upper eyelid reconstruction with a horizontal V–Y myotarsocutaneous advancement flap

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