Download PDF
CC BY-NC 4.0 · Arch Plast Surg 2018; 45(01): 85-88
DOI: 10.5999/aps.2017.00171
Idea and Innovation

Innovation in the planning of V-Y rotation advancement flaps: A template for flap design

Utku Can Dölen 
Department of Plastic Surgery, Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Ankara, Turkey
,
Uğur Koçer
Department of Plastic Surgery, Ankara Training and Research Hospital, Ankara, Turkey
› Author AffiliationsThis study was presented as an oral presentation at the meeting of the American Society of Plastic Surgeons in October 2015, in Boston.
› Further Information
   Permissions and Reprints

Local flaps exhibit excellent color matching that no other type of flap can compete with. Moreover, surgery using a local flap is easier and faster than surgery using a distant or free flap. However, local flaps can be much more difficult to design. We designed 2 templates to plan a V-Y rotation advancement flap. The template for a unilateral V-Y rotation advancement flap was used on the face (n=5), anterior tibia (n=1), posterior axilla (n=1), ischium (n=1), and trochanter (n=2). The template for a bilateral flap was used on the sacrum (n=8), arm (n=1), and anterior tibia (n=1). The causes of the defects were meningocele (n=3), a decubitus ulcer (n=5), pilonidal sinus (n=3), and skin tumor excision (n=10). The meningocele patients were younger than 8 days. The mean age of the adult patients was 50.4 years (range, 19–80 years). All the donor areas of the flaps were closed primarily. None of the patients experienced wound dehiscence or partial/total flap necrosis. The templates guided surgeons regarding the length and the placement of the incision for a V-Y rotation advancement flap according to the size of the wound. In addition, they could be used for the training of residents.

Keywords

Surgical flaps - Reconstructive surgical procedures - Meningocele - Pressure ulcer - Skin neoplasms


Publication History

Received: 02 February 2017

Accepted: 02 May 2017

Article published online:
03 April 2022

© 2018. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • REFERENCES

  • 1 Sungur N, Kankaya Y, Gursoy K. et al. A local flap that never disappoints: V-Y rotation advancement flap. Ann Plast Surg 2013; 71: 575-80
    CrossrefPubMedGoogle Scholar
  • 2 Sungur N, Kankaya Y, Yildiz K. et al. Bilateral V-Y rotation advancement flap for fingertip amputations. Hand (N Y) 2012; 7: 79-85
    CrossrefPubMedGoogle Scholar
  • 3 Dölen UC, Sungur N, Kocer U. V-Y Rotation advancement flap: a metanalysis and systemic review. Eur J Plast Surg 2014; 37: 635-42
    CrossrefGoogle Scholar
  • 4 Wang Y, Kotsis SV, Chung KC. Applying the concepts of innovation strategies to plastic surgery. Plast Reconstr Surg 2013; 132: 483-90
    CrossrefPubMedGoogle Scholar
  • 5 Jovanovic MD, Colic MM. Design of the Limberg flap by a specially designed ruler: a personal approach. Plast Reconstr Surg 2004; 113: 653-8
    CrossrefPubMedGoogle Scholar
  • 6 Gahankari D. Z-plasty template: an innovation in Z-plasty fashioning. Plast Reconstr Surg 1996; 97: 1196-9
    CrossrefPubMedGoogle Scholar
  • 7 Langstein HN, Zide BM. How to use a gel template for an exact facial flap transfer. Plast Reconstr Surg 1997; 99: 556-8
    CrossrefPubMedGoogle Scholar
  • 8 Patel AJ, Kulkarni M, O’Broin ES. A TRAM flap design refinement for use in delayed breast reconstruction. J Plast Reconstr Aesthet Surg 2009; 62: 1135-9
    CrossrefPubMedGoogle Scholar
  • 9 Matros E, Santamaria E, Cordeiro PG. Standardized templates for shaping the fibula free flap in mandible reconstruction. J Reconstr Microsurg 2013; 29: 619-22
    Article in Thieme ConnectPubMedGoogle Scholar
  • 10 Iwasawa M, Noguchi M, Tanaka Y. et al. Usefulness of a palmar crease template for the treatment of complicated syndactyly. Ann Plast Surg 2004; 53: 126-8
    CrossrefPubMedGoogle Scholar
  • 11 McMahon D, Lin A, Reddy V. et al. Rhinoplasty sizers. Aesthetic Plast Surg 2012; 36: 72-6
    CrossrefPubMedGoogle Scholar
  • 12 Lazarus D. A new template-goniometer for marking the wise keyhole pattern of reduction mammaplasty. Plast Reconstr Surg 1998; 101: 171-3
    CrossrefPubMedGoogle Scholar
  • 13 Wise RJ. A preliminary report on a method of planning the mammaplasty. Plast Reconstr Surg (1946) 1956; 17: 367-75
    CrossrefPubMedGoogle Scholar