Usefulness of V-Y Advancement Flap for Defects after Skin Tumor Excision

Background After skin tumor excision on the face, extremities, or trunk, the choice of treatment for a skin defect is highly variable. Many surgeons prefer to use a local flap rather than a skin graft or free flap for small- or moderately-sized circular defects. We have used unilateral or bilateral V-Y advancement flaps, especially on the face. Here we evaluated the functional and aesthetic 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 (Bowen's disease). Thirty-two patients underwent V-Y advancement flap repair (11 unilateral and 21 bilateral) from January 2007 to June 2011. We analyzed the patients' 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 mean age of 66 years. The causes were SCC in 15 cases, BCC in 13 cases, malignant melanoma in 1 case, Bowen's disease in 2 cases, and another cause in 1 case. The tumor locations were the face in 28 patients, and the scalp, upper limb, and flank each in one patient. All of the flaps survived and the aesthetic results were good. Postoperative recovery was usually rapid, and no complication or tumor recurrence was observed.

Conclusions The V-Y advancement flap is often used not only for facial circular defects but also for defects of the trunk and extremities. Its advantages are less scarring and superior aesthetic results as compared with other local flap methods, because of less scarification of adjacent tissue and because it is an easy surgical technique.

Keywords

Surgical flaps - Skin neoplasms - Reconstructive surgical procedures

Publikationsverlauf

Eingereicht: 09. April 2012

Angenommen: 01. August 2012

Artikel online veröffentlicht:
01. Mai 2022

• REFERENCES

• 1 Mark AS. Nonmelanoma skin cancer. Clin Plast Surg 1997; 24: 681-695
• 2 Thomas DJ, King AR, Peat BG. Excision margins for nonmelanotic skin cancer. Plast Reconstr Surg 2003; 112: 57-63
• 3 Suh CD, Kim SK, Kim SS. Local flaps in facial reconstruction. J Korean Soc Plast Reconstr Surg 1987; 14: 417-429
• 4 Baker SR, Swanson NA. Local flaps in facial reconstruction. 1995. St. Louis: Mosby;
• 5 Zook EG, Van Beek AL, Russell RC. et al. V-Y advancement flap for facial defects. Plast Reconstr Surg 1980; 65: 786-797
• 6 Dufourmentel C, Talaat SM. The kite flap. In: Hueston JT. Transactions of the Fifth International Congress of Plastic and Reconstructive Surgery. 1971. Melbourne: Butterworths; 22-26 February 1971 Melbourne 1123-1124
• 7 Kalus R, Zamora S. Aesthetic considerations in facial reconstructive surgery: the V-Y flap revisited. Aesthetic Plast Surg 1996; 20: 83-86
• 8 Andrades PR, Calderon W, Leniz P. et al. Geometric analysis of the V-Y advancement flap and its clinical applications. Plast Reconstr Surg 2005; 115: 1582-1590