Progress in clinical application of V-Y advancement flaps_West China Medical Journal

Authors：

FAN Xigeng ^1,2 ,  CEN Ying ¹

1. Department of Plastic and Burn Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Plastic and Burn Surgery, the Fourth People’s Hospital of Zigong, Zigong, Sichuan 643000, P. R. China;

Corresponding author：

CEN Ying, Email: cenying0141@163.com

Keywords：

V-Y advancement flap; Advancing distance; Perforator flap; Vascular pedicle

DOI：

10.7507/1002-0179.201904099

Video：

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Based on skin elasticity and mobility, V-Y advancement flaps are designed to repair wounds. Traditional V-Y flaps have been limited due to short advancing distance. With the development of perforator flaps and the application of microsurgical techniques, V-Y advancement flaps are gradually transiting from traditional random flaps to axial flaps containing well-known vessels or perforator arteries. The advancing distance of V-Y advancement flaps is significantly increased, and the design forms are gradually flexible and diversified. V-Y advancement flaps are widely used in clinical practice and can be used to repair wounds in almost all parts of the body. This article reviews the clinical application progress of V-Y advancement flaps to further promote its clinical application.

Citation： FAN Xigeng, CEN Ying. Progress in clinical application of V-Y advancement flaps. West China Medical Journal, 2019, 34(8): 953-956. doi: 10.7507/1002-0179.201904099 Copy

1.	李媛. 皮瓣的临床应用进展. 吉林医学, 2015, 36(16): 3595-3597.
2.	刘元波, 王欣, 张世民, 等. " 带蒂穿支皮瓣常见并发症原因分析与防治”专家共识. 中华显微外科杂志, 2017, 40(2): 105-108.
3.	Kutler W. A new method for finger tip amputation. J Am Med Assoc, 1947, 133(1): 29.
4.	Atasoy E, Ioakimidis E, Kasdan ML, et al. Reconstruction of the amputated finger tip with a triangular volar flap. A new surgical procedure. J Bone Joint Surg Am, 1970, 52(5): 921-926.
5.	周飞亚, 高伟阳, 吴剑彬, 等. 双皮下蒂V-Y推进皮瓣修复指端缺损及疗效观察. 中华手外科杂志, 2010, 26(3): 162-164.
6.	肖志宏, 邢丹谋, 任东, 等. 单向或反向双V-Y推进皮瓣在治疗指背皮肤缺损中的应用. 中华手外科杂志, 2017, 33(4): 241-243.
7.	杨志勇, 乔丽, 方帆, 等. V-Y推进皮瓣修复眉缺损. 中国麻风皮肤病杂志, 2015, 31(12): 733-735.
8.	Xu M, Yang C, Wang WJ, et al. An " oxhorn”-shaped V-Y advancement flap unilaterally pedicled on a nasal superficial musculoaponeurotic system for nasal reconstruction. J Plast Reconstr Aesthet Surg, 2015, 68(11): 1516-1521.
9.	孙梦妍, 朱吉, 吕川, 等. 改良皮下组织蒂推进瓣修复面中部皮肤缺损. 中国美容整形外科杂志, 2016, 27(3): 136-139.
10.	Tang JB, Elliot D, Adani R, et al. Repair and reconstruction of thumb and finger tip injuries: a global view. Clin Plast Surg, 2014, 41(3): 325.
11.	仇申强, 王增涛, 孙法威, 等. 携带单侧指动脉及神经的长V-Y推进皮瓣修复指端缺损. 中国修复重建外科杂志, 2016, 30(8): 1049-1050.
12.	周晓, 芮永军, 寿奎水, 等. 双V-Y推进皮瓣修复拇指指端缺损的临床应用. 中华手外科杂志, 2011, 27(6): 332-333.
13.	李斌, 肖孟景, 邹晓防, 等. 改良V-Y推进皮瓣修复指端软组织缺损的疗效观察. 实用骨科杂志, 2018, 24(10): 937-939.
14.	Shen H, Dai X, Chen J, et al. Modified unilateral pedicled V-Y advancement flap for scalp defect repair. J Craniofac Surg, 2018, 29(3): 608-613.
15.	刘黎平, 聂开瑜, 陈伟, 等. 面动脉穿支V-Y推进皮瓣修复上唇皮肤软组织缺损. 中华整形外科杂志, 2018, 34(5): 364-367.
16.	Gibreel W, Harvey JA, Garrity J, et al. Lower eyelid reconstruction using a nasolabial, perforator-based V-Y advancement flap expanding the utility of facial perforator flaps. Ann Plast Surg, 2019, 82(1): 46-52.
17.	Kim KS, Kim ES, Hwang JH, et al. Internal mammary artery perforator-based V-Y advancement flap for the reconstruction of soft tissue defects in the sternal region. J Plast Surg Hand Surg, 2013, 47(6): 543-544.
18.	Hallock GG. Island thoracodorsal artery perforator-based V-Y advancement flap after radical excision of axillary hidradenitis: reply. Ann Plast Surg, 2015, 74(1): 134-135.
19.	周思拓, 黄覛韬, 曾纪章, 等. 携带知名血管穿支的新型V-Y推进皮瓣修复全身多处皮肤软组织缺损的疗效. 中华烧伤杂志, 2017, 33(10): 611-615.
20.	周晓, 芮永军, 薛明宇, 等. 以旋髂深动脉肌皮穿支为蒂的V-Y接力皮瓣修复腹部供区创面的临床应用. 中华显微外科杂志, 2015, 38(5): 421-424.
21.	段冬, 李攀登, 李之华, 等. 自由设计的穿支为蒂V-Y皮瓣推进修复胸壁区较小创面6例. 江苏医药, 2017, 43(9): 659-660.
22.	Koshima I, Moriguchi T, Soeda S, et al. The gluteal perforator-based flap for repair of sacral pressure sores. Plast Reconstr Surg, 1993, 91(4): 678-683.
23.	张志宏, 李文志, 马勇光. 双侧反向臀上动脉远侧穿支V-Y推进筋膜皮瓣修复骶部巨大褥疮. 中国美容医学, 2012, 21(5): 722-723.
24.	Lin CT, Chang SC, Chen SG, et al. Modification of the superior gluteal artery perforator flap for reconstruction of sacral sores. J Plast Reconstr Aesthet Surg, 2014, 67(4): 526-532.
25.	Bonomi S, Salval A, Brenta F, et al. The pacman perforator-based V-Y advancement flap for reconstruction of pressure sores at different locations. Ann Plast Surg, 2016, 77(3): 324-331.
26.	蒋鹏, 杨力, 潘圣鑫, 等. 负压封闭引流联合臀大肌V-Y肌皮瓣转移修复臀部软组织缺损. 中国美容医学, 2018, 27(2): 44-46.
27.	周晓, 薛明宇, 芮永军, 等. 以内踝后穿支为蒂的V-Y推进皮瓣修复跟腱区较小创面. 中华整形外科杂志, 2014, 30(4): 255-257.
28.	周晓, 薛明宇, 芮永军, 等. 带外踝后腓动脉穿支的V-Y推进皮瓣修复儿童足跟后区较小创面. 中华整形外科杂志, 2015, 31(4): 288-291.
29.	蔡晓斌, 蓝益南, 沈立锋. 改良小腿穿支皮瓣V-Y推进修复踝周创面. 中华整形外科杂志, 2016, 32(1): 65-67.
30.	李扬, 郑世军, 李琛琦, 等. 胫后动脉双穿支蒂V-Y推进皮瓣修复跟腱区小面积软组织缺损. 中华显微外科杂志, 2018, 41(5): 421-423.
31.	吴泽勇, 王绥江, 黄海华, 等. 改良V-Y推进皮瓣在手指软组织缺损中的应用. 中华手外科杂志, 2014, 30(4): 289-291.
32.	王云锋, 杨敏, 张文正, 等. 指背V-Y推进皮瓣修复手指近节侧方岛状皮瓣供区32例. 中华显微外科杂志, 2018, 41(3): 275-277.
33.	周晓, 薛明宇, 许亚军, 等. 以指动脉皮穿支蒂接力皮瓣修复指端皮肤软组织缺损. 中华整形外科杂志, 2015, 31(6): 422-425.
34.	Wei FC, Mardini S. Free-style free flaps. Plast Reconstr Surg, 2004, 114(4): 910-916.
35.	Taylor GI, Palmer JH. The vascular territories (angiosomes) of the body: experimental study and clinical applications. Br J Plast Surg, 1987, 40(2): 113-141.
36.	Yildirim S, Taylan G, Akoz T. Freestyle perforator-based V-Y advancement flap for reconstruction of soft tissue defects at various anatomic regions. Ann Plast Surg, 2007, 58(5): 501-506.
37.	黄新建. 携带穿支新型V-Y推进皮瓣对患者烧伤后皮肤软组织缺损的修复效果分析. 实用医院临床杂志, 2018, 15(6): 244-246.

1. 李媛. 皮瓣的临床应用进展. 吉林医学, 2015, 36(16): 3595-3597.
2. 刘元波, 王欣, 张世民, 等. " 带蒂穿支皮瓣常见并发症原因分析与防治”专家共识. 中华显微外科杂志, 2017, 40(2): 105-108.
3. Kutler W. A new method for finger tip amputation. J Am Med Assoc, 1947, 133(1): 29.
4. Atasoy E, Ioakimidis E, Kasdan ML, et al. Reconstruction of the amputated finger tip with a triangular volar flap. A new surgical procedure. J Bone Joint Surg Am, 1970, 52(5): 921-926.
5. 周飞亚, 高伟阳, 吴剑彬, 等. 双皮下蒂V-Y推进皮瓣修复指端缺损及疗效观察. 中华手外科杂志, 2010, 26(3): 162-164.
6. 肖志宏, 邢丹谋, 任东, 等. 单向或反向双V-Y推进皮瓣在治疗指背皮肤缺损中的应用. 中华手外科杂志, 2017, 33(4): 241-243.
7. 杨志勇, 乔丽, 方帆, 等. V-Y推进皮瓣修复眉缺损. 中国麻风皮肤病杂志, 2015, 31(12): 733-735.
8. Xu M, Yang C, Wang WJ, et al. An " oxhorn”-shaped V-Y advancement flap unilaterally pedicled on a nasal superficial musculoaponeurotic system for nasal reconstruction. J Plast Reconstr Aesthet Surg, 2015, 68(11): 1516-1521.
9. 孙梦妍, 朱吉, 吕川, 等. 改良皮下组织蒂推进瓣修复面中部皮肤缺损. 中国美容整形外科杂志, 2016, 27(3): 136-139.
10. Tang JB, Elliot D, Adani R, et al. Repair and reconstruction of thumb and finger tip injuries: a global view. Clin Plast Surg, 2014, 41(3): 325.
11. 仇申强, 王增涛, 孙法威, 等. 携带单侧指动脉及神经的长V-Y推进皮瓣修复指端缺损. 中国修复重建外科杂志, 2016, 30(8): 1049-1050.
12. 周晓, 芮永军, 寿奎水, 等. 双V-Y推进皮瓣修复拇指指端缺损的临床应用. 中华手外科杂志, 2011, 27(6): 332-333.
13. 李斌, 肖孟景, 邹晓防, 等. 改良V-Y推进皮瓣修复指端软组织缺损的疗效观察. 实用骨科杂志, 2018, 24(10): 937-939.
14. Shen H, Dai X, Chen J, et al. Modified unilateral pedicled V-Y advancement flap for scalp defect repair. J Craniofac Surg, 2018, 29(3): 608-613.
15. 刘黎平, 聂开瑜, 陈伟, 等. 面动脉穿支V-Y推进皮瓣修复上唇皮肤软组织缺损. 中华整形外科杂志, 2018, 34(5): 364-367.
16. Gibreel W, Harvey JA, Garrity J, et al. Lower eyelid reconstruction using a nasolabial, perforator-based V-Y advancement flap expanding the utility of facial perforator flaps. Ann Plast Surg, 2019, 82(1): 46-52.
17. Kim KS, Kim ES, Hwang JH, et al. Internal mammary artery perforator-based V-Y advancement flap for the reconstruction of soft tissue defects in the sternal region. J Plast Surg Hand Surg, 2013, 47(6): 543-544.
18. Hallock GG. Island thoracodorsal artery perforator-based V-Y advancement flap after radical excision of axillary hidradenitis: reply. Ann Plast Surg, 2015, 74(1): 134-135.
19. 周思拓, 黄覛韬, 曾纪章, 等. 携带知名血管穿支的新型V-Y推进皮瓣修复全身多处皮肤软组织缺损的疗效. 中华烧伤杂志, 2017, 33(10): 611-615.
20. 周晓, 芮永军, 薛明宇, 等. 以旋髂深动脉肌皮穿支为蒂的V-Y接力皮瓣修复腹部供区创面的临床应用. 中华显微外科杂志, 2015, 38(5): 421-424.
21. 段冬, 李攀登, 李之华, 等. 自由设计的穿支为蒂V-Y皮瓣推进修复胸壁区较小创面6例. 江苏医药, 2017, 43(9): 659-660.
22. Koshima I, Moriguchi T, Soeda S, et al. The gluteal perforator-based flap for repair of sacral pressure sores. Plast Reconstr Surg, 1993, 91(4): 678-683.
23. 张志宏, 李文志, 马勇光. 双侧反向臀上动脉远侧穿支V-Y推进筋膜皮瓣修复骶部巨大褥疮. 中国美容医学, 2012, 21(5): 722-723.
24. Lin CT, Chang SC, Chen SG, et al. Modification of the superior gluteal artery perforator flap for reconstruction of sacral sores. J Plast Reconstr Aesthet Surg, 2014, 67(4): 526-532.
25. Bonomi S, Salval A, Brenta F, et al. The pacman perforator-based V-Y advancement flap for reconstruction of pressure sores at different locations. Ann Plast Surg, 2016, 77(3): 324-331.
26. 蒋鹏, 杨力, 潘圣鑫, 等. 负压封闭引流联合臀大肌V-Y肌皮瓣转移修复臀部软组织缺损. 中国美容医学, 2018, 27(2): 44-46.
27. 周晓, 薛明宇, 芮永军, 等. 以内踝后穿支为蒂的V-Y推进皮瓣修复跟腱区较小创面. 中华整形外科杂志, 2014, 30(4): 255-257.
28. 周晓, 薛明宇, 芮永军, 等. 带外踝后腓动脉穿支的V-Y推进皮瓣修复儿童足跟后区较小创面. 中华整形外科杂志, 2015, 31(4): 288-291.
29. 蔡晓斌, 蓝益南, 沈立锋. 改良小腿穿支皮瓣V-Y推进修复踝周创面. 中华整形外科杂志, 2016, 32(1): 65-67.
30. 李扬, 郑世军, 李琛琦, 等. 胫后动脉双穿支蒂V-Y推进皮瓣修复跟腱区小面积软组织缺损. 中华显微外科杂志, 2018, 41(5): 421-423.
31. 吴泽勇, 王绥江, 黄海华, 等. 改良V-Y推进皮瓣在手指软组织缺损中的应用. 中华手外科杂志, 2014, 30(4): 289-291.
32. 王云锋, 杨敏, 张文正, 等. 指背V-Y推进皮瓣修复手指近节侧方岛状皮瓣供区32例. 中华显微外科杂志, 2018, 41(3): 275-277.
33. 周晓, 薛明宇, 许亚军, 等. 以指动脉皮穿支蒂接力皮瓣修复指端皮肤软组织缺损. 中华整形外科杂志, 2015, 31(6): 422-425.
34. Wei FC, Mardini S. Free-style free flaps. Plast Reconstr Surg, 2004, 114(4): 910-916.
35. Taylor GI, Palmer JH. The vascular territories (angiosomes) of the body: experimental study and clinical applications. Br J Plast Surg, 1987, 40(2): 113-141.
36. Yildirim S, Taylan G, Akoz T. Freestyle perforator-based V-Y advancement flap for reconstruction of soft tissue defects at various anatomic regions. Ann Plast Surg, 2007, 58(5): 501-506.
37. 黄新建. 携带穿支新型V-Y推进皮瓣对患者烧伤后皮肤软组织缺损的修复效果分析. 实用医院临床杂志, 2018, 15(6): 244-246.

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Progress in clinical application of V-Y advancement flaps

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