Orginal Article: PDF OnlyExtended V-Y Flap Patient Reports and ReconsiderationTerashi, H. MD; Kurata, S. MD; Hashimoto, H. MD; Tadokoro, T. MD; Miura, Y. MD; Sato, H. MD; Matsuo, Y. MD Author Information Plastic Surgery Unit, Department of Dermatology, Oita Medical University, Oita, Japan. Annals of Plastic Surgery: February 1997 - Volume 38 - Issue 2 - p 147-150 Buy Abstract The extended V-Y flap, a modified V-Y advancement flap, is very useful in closing relatively large defects on the face. Its extension limb is hinged down as a transposition flap on the end of the V-Y advancement flap to close the most distal portion of the defect. We applied this flap in closing a defect following excision of skin tumors on the face with excellent cosmetic results in 11 patients. However, this flap tended to make a distortion at the base of the flap in the primary closure site. By drawing figures, we concluded that the distortion was due to the characteristic of this technique as a V-Y advancement-rotation flap or V-Y advancement flap with rotation. © Williams & Wilkins 1997. All Rights Reserved.