%0 Journal Article
%T Usefulness of V-Y Advancement Flap for Defects after Skin Tumor Excision
%A Ki Hyun Kwon
%A Dong Gwan Lee
%A Su Han Koo
%A Myoung Soo Jo
%J Archives of Plastic Surgery
%D 2012
%I The Korean Society of Plastic and Reconstructive Surgeons
%R http://dx.doi.org/10.5999/aps.2012.39.6.619
%X Background After skin tumor excision on the face, extremities, or trunk, the choice of treatmentfor a skin defect is highly variable. Many surgeons prefer to use a local flap rather than a skingraft or free flap for small- or moderately-sized circular defects. We have used unilateral orbilateral V-Y advancement flaps, especially on the face. Here we evaluated the functional andaesthetic results of this technique.Methods All of the patients were pathologically diagnosed with squamous cell carcinoma(SCC), basal cell carcinoma (BCC), or malignant melanoma or premalignant lesion (BowenĄ¯sdisease). Thirty-two patients underwent V-Y advancement flap repair (11 unilateral and 21bilateral) from January 2007 to June 2011. We analyzed the patientsĄ¯ age and satisfaction,and location and size of defect. The patients were followed up for 6 months or more.Results There were 22 women and 10 men. The ages ranged from 47 to 93 years with a meanage of 66 years. The causes were SCC in 15 cases, BCC in 13 cases, malignant melanoma in 1case, BowenĄ¯s disease in 2 cases, and another cause in 1 case. The tumor locations were theface in 28 patients, and the scalp, upper limb, and flank each in one patient. All of the flapssurvived and the aesthetic results were good. Postoperative recovery was usually rapid, and nocomplication or tumor recurrence was observed.Conclusions The V-Y advancement flap is often used not only for facial circular defects butalso for defects of the trunk and extremities. Its advantages are less scarring and superioraesthetic results as compared with other local flap methods, because of less scarification ofadjacent tissue and because it is an easy surgical technique.
%K Surgical flaps
%K Skin neoplasms
%K Reconstructive surgical procedures
%U http://www.e-aps.org/Synapse/Data/PDFData/2023APS/aps-39-619.pdf