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V to Y advancement flap- a novel approach for earlobe reconstruction
![V to Y advancement flap- a novel approach for earlobe reconstruction V to Y advancement flap- a novel approach for earlobe reconstruction](https://medicaldialogues.in/h-upload/2021/05/17/750x450_153629-ear-1.webp)
Recent research reveals that the V to Y advancement flap is a simple technique for reconstructing small defects of the lobule, as published in the Journal of Ototlaryngology- Head& Neck Surgery.
The V to Y advancement flap is a useful modality for repairing a variety of skin defects. Its use is well described in the literature. The flap is designed to transfer skin from an area of relative excess to fill a neighbouring defect. It is a versatile local advancement flap that is technically straightforward and can vary markedly in size.
This technique may impact the practice of a wide international target audience of clinicians who perform excision and reconstruction of auricular defects in practice, including but not limited to dermatologists, plastic and facial plastic surgeons, otolaryngologist-head and neck surgeons, as well as general practitioners, particularly those who may perform outpatient procedures in more rural settings.
Hence, Laura Allen and colleagues from the Division of Otolaryngology – Head & Neck Surgery, Department of Surgery, University of British Columbia, British Columbia, Canada aimed to describe the use of the V to Y flap in 6 Caucasian patients with non-melanoma skin cancer of the earlobe.
A review of the literature was performed on the use of the V to Y flap for earlobe reconstruction. The authors described its use in reconstructing lobular defects in 6 patients. All patients had a non-melanoma skin cancer involving the earlobe.
All surgeries were performed under local anesthetic at a tertiary care centre. Defects ranged in size from 1.0 to 1.4 cm. All defects were reconstructed with only a V to Y advancement flap. Patient photographs were taken intra-operatively and post-operatively. For all patients, satisfaction of the final aesthetic result was assessed on a 10 point scale in follow-up at 6 months.
The study revealed the following findings-
- The method was well tolerated under local anesthetic in 6 patients with non-melanoma skin cancers of the earlobe.
- All patients reported an aesthetically satisfying result at 6 months with scores ranging between 8 and 10.
- Scarring in all cases was minimal.
Therefore, it was concluded that "The V to Y advancement flap is a simple technique for reconstructing small defects of the lobule. This method is technically straight-forward, poses minimal risk to the patient, and in our experience, yields a favourable cosmetic outcome."
BDS, MDS( Pedodontics and Preventive Dentistry)
Dr. Nandita Mohan is a practicing pediatric dentist with more than 5 years of clinical work experience. Along with this, she is equally interested in keeping herself up to date about the latest developments in the field of medicine and dentistry which is the driving force for her to be in association with Medical Dialogues. She also has her name attached with many publications; both national and international. She has pursued her BDS from Rajiv Gandhi University of Health Sciences, Bangalore and later went to enter her dream specialty (MDS) in the Department of Pedodontics and Preventive Dentistry from Pt. B.D. Sharma University of Health Sciences. Through all the years of experience, her core interest in learning something new has never stopped. She can be contacted at editorial@medicaldialogues.in. Contact no. 011-43720751
Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: editorial@medicaldialogues.in. Contact no. 011-43720751