A theoretical consideration of extensions of the Z-plasty principle

A theoretical consideration of extensions of the Z-plasty principle For the release of congenital or posttraumatic webs a variety of local skin flap techniques have been described. Confusion exists on how much lengthening may be obtained by each of these techniques, as well as on how much lateral slack is needed for the flaps to be shifted. These techniques and the results they provide are reviewed, calculated, and visualized by diagrams. It is concluded that the Z-plasty and its modifications lead to superior lengthening-to-narrowing ratios. Combined YV-plasties have their advantage in that resection of scarred skin will be obtained. Position, extent and orientation of the scar or web will generally indicate which technique is to be used in each individual case. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

A theoretical consideration of extensions of the Z-plasty principle

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Publisher
Springer Journals
Copyright
Copyright © 1997 by Springer-Verlag
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/BF01419135
Publisher site
See Article on Publisher Site

Abstract

For the release of congenital or posttraumatic webs a variety of local skin flap techniques have been described. Confusion exists on how much lengthening may be obtained by each of these techniques, as well as on how much lateral slack is needed for the flaps to be shifted. These techniques and the results they provide are reviewed, calculated, and visualized by diagrams. It is concluded that the Z-plasty and its modifications lead to superior lengthening-to-narrowing ratios. Combined YV-plasties have their advantage in that resection of scarred skin will be obtained. Position, extent and orientation of the scar or web will generally indicate which technique is to be used in each individual case.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Mar 1, 1997

References

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