Amplified V-Y flaps for nasal defects |
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Authors: | D-H Park |
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Institution: | (1) Department of Plastic and Reconstructive Surgery, Catholic University of Taego Hyosung, College of Medicine, Taegu, Korea Tel- +82-53-650-4581; Fax +82-53-623-7507 E-mail: park1965@chollian.net, KR |
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Abstract: | Due to a paucity of subcutaneous tissue in the nose, mobilization of some flaps is impeded and large nasal defects are thus
difficult to close with traditional V-Y flaps. The V-Y flap is modified by the addition of an amplified limb onto the advancing
edge of the V-Y flap. This limb is located adjacent to the area requiring reconstruction and is hinged down on the end of
the V-Y flap to close the distal portion of the defect. The amplified V-Y flap, a modified V-Y advancement flap, is very useful
for the closure of relatively large defects on the nasal area. We have used this flap for nasal defects as large as 2.5 cm
in diameter following excision of skin tumors on the nose in 11 patients. Most excised tumors were basal cell carcinomas.
The results have been quite good, with only minor complications in two patients. Complications were encountered only in the
nasal tip region, there was partial necrosis at the tip of the amplified portion of the flap. The modifications of the V-Y
flap described has extended the application in closing nasal defects.
Received: 2 May 1997 / Accepted: 22 July 1997 |
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Keywords: | Amplified V-Y flaps Nasal area |
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