Archives of Plastic Surgery

  • 제45권1호
  • /
  • Pages.85-88
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  • 2018
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  • 2234-6163(pISSN)
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  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
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Innovation in the planning of V-Y rotation advancement flaps: A template for flap design

  • Dolen, Utku Can (Department of Plastic Surgery, Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital) ;
  • Kocer, Ugur (Department of Plastic Surgery, Ankara Training and Research Hospital)
  • 투고 : 2017.02.02
  • 심사 : 2017.05.02
  • 발행 : 2018.01.20
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초록

Local flaps exhibit excellent color matching that no other type of flap can compete with. Moreover, surgery using a local flap is easier and faster than surgery using a distant or free flap. However, local flaps can be much more difficult to design. We designed 2 templates to plan a V-Y rotation advancement flap. The template for a unilateral V-Y rotation advancement flap was used on the face (n=5), anterior tibia (n=1), posterior axilla (n=1), ischium (n=1), and trochanter (n=2). The template for a bilateral flap was used on the sacrum (n=8), arm (n=1), and anterior tibia (n=1). The causes of the defects were meningocele (n=3), a decubitus ulcer (n=5), pilonidal sinus (n=3), and skin tumor excision (n=10). The meningocele patients were younger than 8 days. The mean age of the adult patients was 50.4 years (range, 19-80 years). All the donor areas of the flaps were closed primarily. None of the patients experienced wound dehiscence or partial/total flap necrosis. The templates guided surgeons regarding the length and the placement of the incision for a V-Y rotation advancement flap according to the size of the wound. In addition, they could be used for the training of residents.

키워드

참고문헌

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피인용 문헌

  1. How We Do It: The Glabellar Hatchet Flap for Reconstruction of the Proximal Nasal Side Wall and Medial Canthus vol.47, pp.6, 2018, https://doi.org/10.1097/dss.0000000000002605