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Vy Advancement Flap

The flap geometry corresponds to a v y advancement and the secondary defect is closed by mobilizing the surrounding skin figs. The flap described is most like the flap repair to correct a whistling lip deformity 8 9 kapetansky 9 popularized this repair in bilateral cleft lip repairs to correct a defect in the upper lip associated with a small prolabium.

Learn More About Lip Augmentation And The Different Options Vy Advancement Permalip Silicone Implants Fillers Lip Augmentation Lip Implants Cheek Implants

The use of a single v y plasty has.

Vy advancement flap. The v to y advancement flap has many uses in the reconstruction of skin defects at various head and neck sites. Advancement flaps may be categorized as unipedicle bipedicle v y y v and subcutaneous tissue pedicled island flap table 9 1. The boxy appearance seen intra operatively will soften smooth out and re contour with time and gentle massage.

Volar view of v y advancement flap already inset into ring finger defect. V y advancement flap drawn out on volar surface of ring finger. Patient 8 days post surgery.

Patient demographics symptom duration previous treatments short term postoperative outcome and long term follow up were recorded. A cross lip flap would also be difficult to perform on a child or young adolescent. By necessity all advancement flaps must be designed so that the advancing border of the flap also represents a margin of the cutaneous defect that the flap is designed to repair.

We wished to assess anal advancement flap as a treatment for all chronic anal fissures. Early follow up at 2 months shows some mild pincushioning that could be improved with intra lesional steroid and some prominence of the suture line including from the leading edge of the flap that could be blended with a fractional ablative laser. This patient underwent mohs surgery with surgical repair with a v y advancement flap.

All patients with chronic anal fissures regardless of their previous management underwent v y advancement flap. 2 the technique can be used in various other sites within the head and neck and its use seems to be gaining popularity particularly for reconstructing scalp. But a simple v y plasty pedicle flap easily can be advanced to cover the defect left by fingertip injury.

This advancement flap is commonly used in the reconstruction of defects located in the cheek region 1 or in the upper lip. Lateral view of v y advancement flap inset into defect of ring finger. A single v y flap does not require this and the donor defect closes primarily.

Because these flaps receive a good blood supply from the supratrochlear artery on one side the pedicle can be kept relatively thin allowing for good mobilization and downward rotation of the flap. 5 2b 5 3 and 5 4. 4 6 10 the v y plasty advancement flap technique.

V Y Advancement Flap For Transverse And Or Dorsal Oblique Tip Amputations With Exposed Bone And An Intact Nail Bed Hand Therapy Occupational Therapy Medical

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