PROXIMAL PEDICLED V-Y ADVANCEMENT FLAP FOR CLOSURE OF SURGICAL DEFECT ON THE BACK OF THE HAND

  • Ermelindo Tavares Interno do Internato Complementar de Dermatologia e Venereologia/Resident Dermatology and Venereology, Hospital Distrital de Santarém, Portugal
  • David Pacheco Castellano Interno do Internato Complementar de Dermatologia e Venereologia/Resident Dermatology and Venereology, Serviço de Dermatologia e Venereologia, Hospital de Santa Maria, Centro Hospitalar de Lisboa Norte, E.P.E., Lisboa, Portugal
  • José Rosa Professor Auxiliar Convidado da Faculdade de Ciências Médicas da Universidade Nova de Lisboa; Diretor do Serviço de Cirurgia Plástica, Reconstrutiva e Estética do Instituto Português de Oncologia de Lisboa, Francisco Gentil, E.P.E., Lisboa, Portugal/Professor and Head of Plastic Surgery Department; Oncology Institute of Lisbon and New University of Lisbon, Portugal.

Abstract

Introduction: The V-Y advancement flap is widely used in the reconstruction of surgical defects of the face, particularly on the periocular or eyelid areas. Its use in other locations has been taking new indications with high reconstructive quality. Case report: An 86-year-old female patient underwent wide excision of squamous cell carcinoma of the back of the right hand. Proximal pedicled V-Y advancement flap emerging from the radial edge of the hand was used to close the surgical defect. There was no partial or total flap necrosis. The aesthetic result was quite acceptable. Conclusion: The V-Y advancement flap is a viable surgical alternative for reconstruction of surgical defects of the back of the hand.

KEYWORDS – Hand; Squamous cell carcinoma; Reconstructive surgical procedures; Skin transplantation; Surgical flaps.


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Published
2013-01-13
How to Cite
Tavares, E., Castellano, D. P., & Rosa, J. (2013). PROXIMAL PEDICLED V-Y ADVANCEMENT FLAP FOR CLOSURE OF SURGICAL DEFECT ON THE BACK OF THE HAND. Journal of the Portuguese Society of Dermatology and Venereology, 70(3), 345. https://doi.org/10.29021/spdv.70.3.11
Section
Surgical Dermatology