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A Local Flap That Never Disappoints: V-Y Rotation Advancement Flap

Sungur, Nezih MD*; Kankaya, Yüksel MD*; Gursoy, Koray MD; Dölen, Utku Can MD*; Koçer, Uğur MD*

doi: 10.1097/SAP.0b013e318250ba5d
Reconstructive Surgery

Background There are lots of ways to close a defect according to the reconstruction ladder. In this article, we would like to share our experience with V-Y rotation advancement flap on different parts of the body.

Patients and Methods Between 2006 and 2009, we performed V-Y rotation advancement flap on 68 patients (average age, 50 years). We performed this flap for decubitus and neuropathic ulcer on 33 patients, for defect reconstruction after tumor removal on 29 patients, and for trauma on 6 patients.

Results The sizes of the defects ranged between 2 × 2 and 26 × 16 cm. All flaps survived without any major complications. Patients were satisfied with their scar appearance, and no sensory impairment was seen.

Conclusions V-Y rotation advancement flap restores the defect with a perfect color match and leaves an aesthetically acceptable scar. With its surgical flexibility and durability, this flap disappoints neither the surgeon nor the patient.

From the *Ankara Training and Research Hospital, 1st Plastic, Reconstructive and Aesthetic Surgery Clinic, Ankara; and †Balikesir Government Hospital, Plastic, Reconstructive and Aesthetic Surgery Clinic, Balikesir, Turkey.

Received October 10, 2011, and accepted for publication, after revision, January 14, 2012.

Presented at the 29th Congress of National Turkish Plastic Reconstructive and Aesthetic Surgery Association, 2007, Eskisehir, Turkey, and at the 6th Congress of Balkan Association of Plastic, Reconstructive and Aesthetic Surgery, 2007, Kusadasi, Turkey.

Conflicts of interest and sources of funding: none declared.

Reprints: Utku Can Dölen, MD, Safranbolu cad. Urla Sk. No:11 Konutkent-2 Çayyolu, Ankara, Turkey. E-mail:

© 2013 by Lippincott Williams & Wilkins