The sliding subcutaneous pedicle V–Y flap is an established method for reconstructing soft tissue defects of the face. The authors describe a modification utilising extension limbs that are closed together in a pincer-like fashion, recruiting skin lateral to the defect. The edges of the flap are curved to provide an element of rotation. A series of 15 consecutive patients who underwent this procedure were studied prospectively. The flap was found to be versatile and useful for defects up to 2.5 cm in diameter. Two flaps developed minor tip necrosis but healed satisfactorily. This flap is another useful addition to the armamentarium of the plastic surgeon and may be suited to situations when tissue laxity is less than would be ideal for a standard V–Y flap.
European Journal of Plastic Surgery – Springer Journals
Published: Sep 1, 2007
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