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Versatile Use of V-Y Advancement Flap for Facial Defect Reconstruction: A Case Series in Asian Patients

  • Original Articles
  • Facial Surgery
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Aesthetic Plastic Surgery Aims and scope Submit manuscript

Abstract

Background

V-Y advancement flap (VYAF) is a commonly used flap for facial reconstruction, but it is not popular in Asian society with limited aesthetic outcome evaluation.

Objective

To demonstrate our experience of facial VYAF with the quantitative aesthetic outcome assessment.

Methods and Materials

From January 2013 to December 2022, patients who underwent facial VYAF reconstruction were reviewed. Postoperative photographs were collected and independently graded by three plastic surgeons, three nurses, and six non-medical personnel using Manchester scar scale (MSS). The representative preoperative images were selected for surgeons’ reconstruction preferences survey.

Results

Forty-eight patients (27 females and 21 males), with a mean age of 66.8 (23–97) years, were included in this study. All flaps survived with no flap necrosis. Only six patients (12.5%) developed minor postoperative complications, and they were treated conservatively and resolved uneventfully. The total MSS score was 7.8 ± 1.9 (scale of 4 [best scar] to 24 [worst scar]) and the overall scar VAS rating was 1.9 ± 1.1 (0 [best scar] to 10 [worst scar]), indicating satisfactory postoperative scar condition. From the survey of 22 plastic surgeons and 11 scenarios, VYAF was rarely chosen among other local flaps which only accounted for 8.7%.

Conclusion

VYAF is an easy and safe method for facial reconstruction with low morbidity, but its usefulness is underappreciated. With a proper design and cautious dissection, we believe that good aesthetic and functional outcomes can be achieved with VYAF.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Data Availability

The data presented in this study are available on request from the corresponding author. The data are not publicly available due to the concern of the patient privacy.

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Acknowledgments

We appreciate Enago for professional language editorial services.

Funding

This research received no external funding.

Author information

Authors and Affiliations

  1. Division of Plastic and Aesthetic Surgery, Department of Surgery, Far Eastern Memorial Hospital, No.21, Sec. 2, Nanya S. Rd., Banciao Dist., New Taipei City, 220, Taiwan, ROC

    Dun-Hao Chang, Tsuo-Wu Lin & Ke-Chung Chang

  2. School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC

    Dun-Hao Chang

  3. Department of Information Management, Yuan Ze University, Taoyuan, Taiwan, ROC

    Dun-Hao Chang

  4. Department of Surgery, Chi Mei Medical Center, Tainan, Taiwan, ROC

    Ya-Di Lu

Authors
  1. Dun-Hao Chang
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  4. Ke-Chung Chang
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Contributions

DHC and KCC contributed to conceptualization, formal analysis, and data curation; DHC, TWL, and YDL provided methodology; YDL provided software; KCC contributed to validation, resources, writing—review and editing, and supervision; TWL and YDL performed investigation; DHC and YDL performed visualization and writing—original draft preparation; DHC and TWL were involved in project administration. All authors have read and agreed to the published version of the manuscript.

Corresponding author

Correspondence to Ke-Chung Chang.

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Conflicts of interest

The authors declare no conflict of interest.

Ethical Approval

“The study was conducted in accordance with the Declaration of Helsinki, and approved by Research Ethics Review Committee of Far Eastern Memorial Hospital (protocol code 112037-E, date of approval: 2023/3/15).”

Informed Consent

Patient consent was waived due to retrospective study with data anonymization.

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Chang, DH., Lu, YD., Lin, TW. et al. Versatile Use of V-Y Advancement Flap for Facial Defect Reconstruction: A Case Series in Asian Patients. Aesth Plast Surg 48, 1663–1671 (2024). https://doi.org/10.1007/s00266-023-03821-1

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  • DOI: https://doi.org/10.1007/s00266-023-03821-1

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