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. 皮瓣的臨床應用進展. 吉林醫學, 2015, 36(16): 3595-3597.
2.	劉元波, 王欣, 張世民, 等. " 帶蒂穿支皮瓣常見并發癥原因分析與防治”專家共識. 中華顯微外科雜志, 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.	周飛亞, 高偉陽, 吳劍彬, 等. 雙皮下蒂V-Y推進皮瓣修復指端缺損及療效觀察. 中華手外科雜志, 2010, 26(3): 162-164.
6.	肖志宏, 邢丹謀, 任東, 等. 單向或反向雙V-Y推進皮瓣在治療指背皮膚缺損中的應用. 中華手外科雜志, 2017, 33(4): 241-243.
7.	楊志勇, 喬麗, 方帆, 等. V-Y推進皮瓣修復眉缺損. 中國麻風皮膚病雜志, 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.	孫夢妍, 朱吉, 呂川, 等. 改良皮下組織蒂推進瓣修復面中部皮膚缺損. 中國美容整形外科雜志, 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.	仇申強, 王增濤, 孫法威, 等. 攜帶單側指動脈及神經的長V-Y推進皮瓣修復指端缺損. 中國修復重建外科雜志, 2016, 30(8): 1049-1050.
12.	周曉, 芮永軍, 壽奎水, 等. 雙V-Y推進皮瓣修復拇指指端缺損的臨床應用. 中華手外科雜志, 2011, 27(6): 332-333.
13.	李斌, 肖孟景, 鄒曉防, 等. 改良V-Y推進皮瓣修復指端軟組織缺損的療效觀察. 實用骨科雜志, 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.	劉黎平, 聶開瑜, 陳偉, 等. 面動脈穿支V-Y推進皮瓣修復上唇皮膚軟組織缺損. 中華整形外科雜志, 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, 黃覛韜, 曾紀章, 等. 攜帶知名血管穿支的新型V-Y推進皮瓣修復全身多處皮膚軟組織缺損的療效. 中華燒傷雜志, 2017, 33(10): 611-615.
20.	周曉, 芮永軍, 薛明宇, 等. 以旋髂深動脈肌皮穿支為蒂的V-Y接力皮瓣修復腹部供區創面的臨床應用. 中華顯微外科雜志, 2015, 38(5): 421-424.
21.	段冬, 李攀登, 李之華, 等. 自由設計的穿支為蒂V-Y皮瓣推進修復胸壁區較小創面6例. 江蘇醫藥, 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.	張志宏, 李文志, 馬勇光. 雙側反向臀上動脈遠側穿支V-Y推進筋膜皮瓣修復骶部巨大褥瘡. 中國美容醫學, 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.	蔣鵬, 楊力, 潘圣鑫, 等. 負壓封閉引流聯合臀大肌V-Y肌皮瓣轉移修復臀部軟組織缺損. 中國美容醫學, 2018, 27(2): 44-46.
27.	周曉, 薛明宇, 芮永軍, 等. 以內踝后穿支為蒂的V-Y推進皮瓣修復跟腱區較小創面. 中華整形外科雜志, 2014, 30(4): 255-257.
28.	周曉, 薛明宇, 芮永軍, 等. 帶外踝后腓動脈穿支的V-Y推進皮瓣修復兒童足跟后區較小創面. 中華整形外科雜志, 2015, 31(4): 288-291.
29.	蔡曉斌, 藍益南, 沈立鋒. 改良小腿穿支皮瓣V-Y推進修復踝周創面. 中華整形外科雜志, 2016, 32(1): 65-67.
30.	李揚, 鄭世軍, 李琛琦, 等. 脛后動脈雙穿支蒂V-Y推進皮瓣修復跟腱區小面積軟組織缺損. 中華顯微外科雜志, 2018, 41(5): 421-423.
31.	吳澤勇, 王綏江, 黃海華, 等. 改良V-Y推進皮瓣在手指軟組織缺損中的應用. 中華手外科雜志, 2014, 30(4): 289-291.
32.	王云鋒, 楊敏, 張文正, 等. 指背V-Y推進皮瓣修復手指近節側方島狀皮瓣供區32例. 中華顯微外科雜志, 2018, 41(3): 275-277.
33.	周曉, 薛明宇, 許亞軍, 等. 以指動脈皮穿支蒂接力皮瓣修復指端皮膚軟組織缺損. 中華整形外科雜志, 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.	黃新建. 攜帶穿支新型V-Y推進皮瓣對患者燒傷后皮膚軟組織缺損的修復效果分析. 實用醫院臨床雜志, 2018, 15(6): 244-246.

1. 李媛. 皮瓣的臨床應用進展. 吉林醫學, 2015, 36(16): 3595-3597.
2. 劉元波, 王欣, 張世民, 等. " 帶蒂穿支皮瓣常見并發癥原因分析與防治”專家共識. 中華顯微外科雜志, 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. 周飛亞, 高偉陽, 吳劍彬, 等. 雙皮下蒂V-Y推進皮瓣修復指端缺損及療效觀察. 中華手外科雜志, 2010, 26(3): 162-164.
6. 肖志宏, 邢丹謀, 任東, 等. 單向或反向雙V-Y推進皮瓣在治療指背皮膚缺損中的應用. 中華手外科雜志, 2017, 33(4): 241-243.
7. 楊志勇, 喬麗, 方帆, 等. V-Y推進皮瓣修復眉缺損. 中國麻風皮膚病雜志, 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. 孫夢妍, 朱吉, 呂川, 等. 改良皮下組織蒂推進瓣修復面中部皮膚缺損. 中國美容整形外科雜志, 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. 仇申強, 王增濤, 孫法威, 等. 攜帶單側指動脈及神經的長V-Y推進皮瓣修復指端缺損. 中國修復重建外科雜志, 2016, 30(8): 1049-1050.
12. 周曉, 芮永軍, 壽奎水, 等. 雙V-Y推進皮瓣修復拇指指端缺損的臨床應用. 中華手外科雜志, 2011, 27(6): 332-333.
13. 李斌, 肖孟景, 鄒曉防, 等. 改良V-Y推進皮瓣修復指端軟組織缺損的療效觀察. 實用骨科雜志, 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. 劉黎平, 聶開瑜, 陳偉, 等. 面動脈穿支V-Y推進皮瓣修復上唇皮膚軟組織缺損. 中華整形外科雜志, 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, 黃覛韜, 曾紀章, 等. 攜帶知名血管穿支的新型V-Y推進皮瓣修復全身多處皮膚軟組織缺損的療效. 中華燒傷雜志, 2017, 33(10): 611-615.
20. 周曉, 芮永軍, 薛明宇, 等. 以旋髂深動脈肌皮穿支為蒂的V-Y接力皮瓣修復腹部供區創面的臨床應用. 中華顯微外科雜志, 2015, 38(5): 421-424.
21. 段冬, 李攀登, 李之華, 等. 自由設計的穿支為蒂V-Y皮瓣推進修復胸壁區較小創面6例. 江蘇醫藥, 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. 張志宏, 李文志, 馬勇光. 雙側反向臀上動脈遠側穿支V-Y推進筋膜皮瓣修復骶部巨大褥瘡. 中國美容醫學, 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. 蔣鵬, 楊力, 潘圣鑫, 等. 負壓封閉引流聯合臀大肌V-Y肌皮瓣轉移修復臀部軟組織缺損. 中國美容醫學, 2018, 27(2): 44-46.
27. 周曉, 薛明宇, 芮永軍, 等. 以內踝后穿支為蒂的V-Y推進皮瓣修復跟腱區較小創面. 中華整形外科雜志, 2014, 30(4): 255-257.
28. 周曉, 薛明宇, 芮永軍, 等. 帶外踝后腓動脈穿支的V-Y推進皮瓣修復兒童足跟后區較小創面. 中華整形外科雜志, 2015, 31(4): 288-291.
29. 蔡曉斌, 藍益南, 沈立鋒. 改良小腿穿支皮瓣V-Y推進修復踝周創面. 中華整形外科雜志, 2016, 32(1): 65-67.
30. 李揚, 鄭世軍, 李琛琦, 等. 脛后動脈雙穿支蒂V-Y推進皮瓣修復跟腱區小面積軟組織缺損. 中華顯微外科雜志, 2018, 41(5): 421-423.
31. 吳澤勇, 王綏江, 黃海華, 等. 改良V-Y推進皮瓣在手指軟組織缺損中的應用. 中華手外科雜志, 2014, 30(4): 289-291.
32. 王云鋒, 楊敏, 張文正, 等. 指背V-Y推進皮瓣修復手指近節側方島狀皮瓣供區32例. 中華顯微外科雜志, 2018, 41(3): 275-277.
33. 周曉, 薛明宇, 許亞軍, 等. 以指動脈皮穿支蒂接力皮瓣修復指端皮膚軟組織缺損. 中華整形外科雜志, 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. 黃新建. 攜帶穿支新型V-Y推進皮瓣對患者燒傷后皮膚軟組織缺損的修復效果分析. 實用醫院臨床雜志, 2018, 15(6): 244-246.

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Progress in clinical application of V-Y advancement flaps

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