A theoretical consideration of extensions of the Z-plasty principle |
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Authors: | F Vegter J J Hage |
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Institution: | (1) Department of Plastic and Reconstructive Surgery, Academic Hospital of the Free University, P.O. Box 7057, NL-1007 MB Amsterdam, The Netherlands |
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Abstract: | For the release of congenital or posttraumatic webs a variety of local skin flap techniques have been described. Confusion exists on how much lengthening may be obtained by each of these techniques, as well as on how much lateral slack is needed for the flaps to be shifted. These techniques and the results they provide are reviewed, calculated, and visualized by diagrams. It is concluded that the Z-plasty and its modifications lead to superior lengthening-to-narrowing ratios. Combined YV-plasties have their advantage in that resection of scarred skin will be obtained. Position, extent and orientation of the scar or web will generally indicate which technique is to be used in each individual case. |
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Keywords: | Contracture Scar Z-plasty Flaps |
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