eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Reconstructive Surgery
Advancement Flaps: Follow-up
Updated: Oct 17, 2008
Outcome and Prognosis
The advancement flap is a valuable tool for the surgeon repairing skin defects in the head and neck region. Proper patient selection and planning are essential. Advancement flaps are desirable because skin advanced from adjacent areas is usually a good match for color, thickness, and texture. Incisions can be hidden well in relaxed skin-tension lines or in borders of facial aesthetic units.
Future and Controversies
The advancement flap is one of many techniques available to close skin defects of the head and neck. Often, a given defect may be closed in more than one way, and talented surgeons may disagree. Current research topics include the role of vasodilating agents, antiplatelet drugs, and hyperbaric oxygen. These research areas will probably improve techniques or provide agents to increase flap survival.
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References
Andrades PR, Calderon W, Leniz P, et al. Geometric analysis of the V-Y advancement flap and its clinical applications. Plast Reconstr Surg. May 2005;115(6):1582-90. [Medline].
Baker SR. Reconstruction of facial defects. In: Otolaryngology: and Head and Neck Surgery. 1998:527-559.
Calhoun KH, Seikaly H, Quinn FB. Teaching paradigm for decision making in facial skin defect reconstructions. Arch Otolaryngol Head Neck Surg. Jan 1998;124(1):60-6. [Medline].
Connor CD, Fosko SW. Anatomy and Physiology of Local Skin Flaps. Facial Plast Surg Clin North Am. Nov 1996;4:447-454.
Fisher J. Basic principles of skin flaps. In: Essentials of Plastic, Maxillofacial and Reconstructive Surgery. Lippincott Williams & Wilkins; 1987:37-50.
Murakami CS, Nishioka GJ. Essential Concepts in the Design of Local Skin Flaps. Facial Plast Surg Clin North Am. Nov 1996;4:455-468.
Onishi K, Maruyama Y, Hayashi A, et al. Repair of scalp defect using a superficial temporal fascia pedicle VY advancement scalp flap. Br J Plast Surg. Jul 2005;58(5):676-80. [Medline].
Sabit I, Schaefer SD, Couldwell WT. Extradural extranasal combined transmaxillary transsphenoidal approach to the cavernous sinus: a minimally invasive microsurgical model. Laryngoscope. Feb 2000;110(2 Pt 1):286-91. [Medline].
Shumrick KA. Local skin flaps: anatomy, physiology, and general types. In: Head and Neck Surgery - Otolaryngology. Lippincott Williams & Wilkins; 1993:1913-1948.
Further Reading
Keywords
advancement flaps, skin flaps, skin flap, vy advancement flaps, local skin flap, rotation flap, skin defects, monopedicled flap, bipedicled flap, V-Y flap, delay phenomenon, random flap
Follow-up: Advancement Flaps