Modified Bilateral Advancement Flap

Akan, Ismaíl Míthat; Ulusoy, Mustafa Gürhan; Bilen, Bilge Türk; Kapucu, M. Ruşen

doi:10.1097/00000637-199905000-00015

Cited by 16 publications

(9 citation statements)

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“…Sacral pressure ulcers can be closed using fasciocutaneous rotation flaps according to Griffith and Conway or myocutaneous m. gluteus maximus rotation flaps; the V-Y advancement technique using myocutaneous flaps can also be applied. When pressure ulcer occurs over the greater trochanter of the femur, the tensor fascia lata flaps or vastus lateralis flaps of m. quadriceps femoris are used (7,(10)(11)(12)(13). No consensus exists as to which rotation flap is superior.…”

Section: Introductionmentioning

confidence: 99%

Surgical treatment of pressure ulcers: an 11-year experience at the Department of Plastic and Reconstructive Surgery of Hospital of Kaunas University of Medicine

Maslauskas¹,

Samsanavičius²,

Rimdeika³

et al. 2009

Medicina

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The aim of this study was to evaluate morphological characteristics of pressure ulcers, methods of surgical treatment and its effectiveness in the Clinic of Plastic and Reconstructive Surgery of Kaunas University of Medicine Hospital. Material and methods. A retrospective data analysis of 139 patients with pressure ulcers treated in the Clinic of Plastic and Reconstructive Surgery, Kaunas University of Medicine Hospital, from January 1996 to January 2007 was performed. Results. A total of 139 patients were surgically treated for pressure ulcers at the Clinic of Plastic and Reconstructive Surgery, Kaunas University of Medicine Hospital, from January 1996 to January 2007. Eighty-one patients were treated repeatedly (from 1 to 7 admissions; M=1). Pressure ulcers were healed completely in 94 patients who underwent surgery during the treatment in the hospital; in 45 patients who underwent surgical treatment, pressure ulcers were partially healed, and on discharge from hospital, only small wounds were left. Pressure ulcers most commonly occur in tuber ischii area (69 cases). The mean age of patients was 42±13.65 years (M=31); pressure ulcers were for 8.9±8.5 months on average (M=31). At admission to Kaunas University of Medicine Hospital, the mean size of pressure ulcers was 42.62±53.27 cm2 (M=10). The results showed that the size of pressure ulcers depends on the duration of paraplegia (P<0.05). In 93 cases, pressure ulcers were treated using myocutaneous flaps; 17 of them were closed with V-Y advancement technique over the sacral area, 35 were closed with m. gluteus rotation flap, and in 41 cases, V-Y advancement technique using hamstring flaps was used. Conclusions. In patients with paraplegia, the first pressure ulcer occurs after 74.79±61.34 months from the onset of the disease. Pressure ulcers most commonly occur over tuber ischii area. The most effective surgical treatment of pressure ulcers is closure of the wound using myocutaneous flaps (use of the hamstrings); fasciocutaneous flaps were the most commonly used method in patients who underwent surgery for the second time.

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Section: Introductionmentioning

confidence: 99%

Surgical treatment of pressure ulcers: an 11-year experience at the Department of Plastic and Reconstructive Surgery of Hospital of Kaunas University of Medicine

Maslauskas¹,

Samsanavičius²,

Rimdeika³

et al. 2009

Medicina

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“…In the classic V-Y procedures of sacral PrUs, the closure is a vertical line, and this is where the greatest tension occurs that may cause a dehiscence over the sacrum. Several modifications in the V-Y procedures have been described to achieve effective advancement of the available tissue and to decrease tension along the closure line (16)(17)(18)(19)(20)(21)(22). Campus et al (16) used unilateral modified V-Y advancement flap to close rhomboidal defect.…”

Section: Discussionmentioning

confidence: 99%

Improvisations in classic and modified techniques of flap surgery to improve the success rate for pressure ulcer healing in patients with spinal cord injury

Singh

Rohilla

et al. 2012

International Wound Journal

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The recurrence of pressure ulcers (PrUs) and dehiscence of reconstructive flap have always been a problem. The present study aimed to evaluate the results of reconstructive flap surgeries in patients with spinal cord injury (SCI) having PrUs, using classic and modified flaps with improvisations to decrease wound dehiscence, flap necrosis and tension in flap. This is a prospective clinical study. The setting was a tertiary care centre in northern India. Thirty-five patients with SCI having 37 stage III and IV PrUs. PrUs were treated using classic and modified flaps with improvisations. The outcome was evaluated using criteria of wound dehiscence, flap necrosis and recurrence. The results of flap surgery were excellent in 32 (86·48%) patients, good in 4 (10·81%) patients and poor in 1 (2·7%) patient. Partial flap necrosis (2·7%), low incidence of PrU recurrence rate at flap site (5·4%) and overall PrU recurrence (11·4%) were the complications observed. Improvisation of classic and modified techniques of flap surgeries along with reinforcement of general care principles of paraplegia can be effective in minimising complications often associated with PrU reconstructive surgery thus improving the ultimate outcome.

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“…During this meticulous dissection, 2 moderately sized perforators were identified and preserved. The flap was easily advanced and adaptation was achieved using a maneuver described by Akan et al [3] This maneuver involves transposing the upper and lower extensions of the V-Y flap into the defect and suturing them to one another. Although Akan et al [3] described this technique as part of bilateral VY advancement flaps, we used it effectively in single V-Y flaps (both in this case and in case 4).…”

Section: Casementioning

confidence: 99%

“…The advantages of this design are well established, [2] and numerous modifications of the technique have been published. [3][4][5][6] The flap is supplied by the perforating vessels entering the flap base and the use of adjacent soft tissues usually offers a better color and quality match. [7] The presence of adipose tissue affects the mobility of the flap.…”

Section: Introductionmentioning

confidence: 99%

A Useful and Effective Option for the Repair of Facial Defects: Vy Advancement Flaps and Modifications

Derebaşınlıoğlu¹,

Yilmaz²,

Ipek³

2020

ENT Updates

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Objective: V-Y advancement flaps are pliable local flaps that can be used in nearly every part of the body with relatively minimal technical difficulty. These flaps provide the best color and quality match, especially in the facial region. With effective planning, donor site morbidity can be acceptable, even on the face. Methods: The results of 38 patients who underwent 53 V-Y advancement flap facial reconstructions were analyzed retrospectively. The defects were evaluated according to their anatomical region, etiology, postoperative complications, and final aesthetic results. Results: V-Y advancement flaps were used for defects that were either not amenable to primary repair or had a high risk of cosmetic distortion. The defects were located in the cheek (9 patients), nasolabial fold (7 patients), nose (6 patients), forehead (5 patients), preauricular area (3 patients), infraorbital region (3 patients), lower lip (1 patients), gingivobuccal sulcus (2 patients), and medial canthal region (2 patients). In 32 patients, the primary pathology was malignant tumor (22 basal cell carcinomas, 9 epidermoid carcinomas, 1 malignant eccrine poroma). Etiologies of the other patients' defects were benign tumors (n=2), traumatic wounds (n=2), and contractures (n=2). Conclusions: Despite the widespread use of V-Y flaps in surgical practice, the technique continues to demonstrate additional advantages, particularly in facial reconstruction. They are not only applicable for medium and small defects, but can be used for all defects with sufficient surrounding tissue. They enable various modifications and the elevation of multiple flaps.

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Modified Bilateral Advancement Flap

Cited by 16 publications

References 0 publications

Surgical treatment of pressure ulcers: an 11-year experience at the Department of Plastic and Reconstructive Surgery of Hospital of Kaunas University of Medicine

Surgical treatment of pressure ulcers: an 11-year experience at the Department of Plastic and Reconstructive Surgery of Hospital of Kaunas University of Medicine

Improvisations in classic and modified techniques of flap surgery to improve the success rate for pressure ulcer healing in patients with spinal cord injury

A Useful and Effective Option for the Repair of Facial Defects: Vy Advancement Flaps and Modifications

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