Value of V-Y Advancement Flaps in the Coverage of Cutaneous Loss of Substance

Abstract

Objective: We aimed to provide an update and highlight the value of V-Y advancement flaps in the management of cutaneous loss of substance (LOS). Methods: We included 18 patients in whom cutaneous reconstruction was performed at various sites between 2019 and 2021. Skin coverage was provided by means of unilateral or bilateral VY advancement flap. Among the 18 patients, 13 were men and 5 were women. The age of the patients ranged from 8 to 75, with an average age of 46.8. Perineal scrotal reconstruction was performed in 5 cases, sacral in 5 cases, plantar in 3 cases, ischial in 1 case, lumbo-gluteal in 2 cases, retroauricular in 1 case, and forearm in 1 case; 7 cases had bilateral V-Y advancement flap, while 11 cases had unilateral flap. We studied the indications, the size of the defect (4 cm × 5 cm to 20 cm × 30 cm), postoperative complications, and patient satisfaction. Results: No flap defatting was necessary. Long-term results in terms of scarring, functionality, and cosmetic appearance of the reconstructed area were considered satisfactory by the patients. Conclusion: Coverage of cutaneous LOS is a daily procedure for plastic surgeons. Since the V-Y advancement flap is a simple, useful, and reliable coverage technique with low morbidity, it should be an option in cutaneous reconstruction.