Use of Bilaterally Pedicled V-Y Advancement Flap for Reconstruction of the Nose
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The bilaterally pedicled V-Y advancement flap was introduced by Pontes in 2002 with clinical applications for facial reconstruction . Here we present the use of a bilaterally pedicled V-Y advancement flap for reconstruction of the nose following excision of a recurring basal cell carcinoma in a 97-year-old patient. The bilaterally pedicled V-Y advancement flap is based on two subcutaneous pedicles that vascularize the skin island through subdermal plexus lateral bridges. It differs from traditional V-Y advancement flaps in that it does not rely on the classic subcutaneous vertical pedicle that is sectioned from top to bottom to improve advancement of the skin island based only on its bilateral pedicles.
KeywordsBasal Cell Carcinoma Aesthetic Result Advancement Flap Pedicled Flap Lateral Cartilage