Abstract
For the release of congenital or posttraumatic webs a variety of local skin flap techniques have been described. Confusion exists on how much lengthening may be obtained by each of these techniques, as well as on how much lateral slack is needed for the flaps to be shifted. These techniques and the results they provide are reviewed, calculated, and visualized by diagrams. It is concluded that the Z-plasty and its modifications lead to superior lengthening-to-narrowing ratios. Combined YV-plasties have their advantage in that resection of scarred skin will be obtained. Position, extent and orientation of the scar or web will generally indicate which technique is to be used in each individual case.
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References
Berger P (1904) Autoplastie par dédoublement de la palmure et échange de lambeaux. In: Berger P, Banzet S (eds) Chirurgie orthopédique. Steinheil, Paris, pp 180–184
Borges AF (1973) Elective incisions and scar revision. Little Brown, Boston, p 185
Cooper MACS (1990) The multiple Y-V plasty in linear burn sear contracture release. Br J Plast Surg 43:145
Davis WE, Renner GJ (1989) Z-plasty and scar revision. In: Thomas JR, Holt GR (eds) Facial scars — incision, revision and camouflage. Mosby, St Louis, pp 137–149
Denonvilliers CP (1854) Présentation des malades. Bull Soc Chir Paris 5:35
Denonvilliers CP (1854) Présentation des malades. Bull Soc Chir Paris 5:118
Glicenstein J, Bonnefous G (1975) La plasty en trident. Ann Chir Plast 20:257
Hirshowitz B, Karev A, Levy Y (1977) A 5-flap procedure for axillary webs leaving the apex intact. Br J Plast Surg 30:48
Hirshowitz B, Karev A, Rousso M (1975) Combined double Z-plasty and Y-V advancement for thumb web contracture. Hand 7:291
Horner WE (1837) Clinical report on the surgical department of the Philadelphia Hospital, Blockley, for the months of May, June, and July, 1837. Am J Med Sci 21:99
Hyakusoku H, Fumiiri M (1987) The square flap method. Br J Plast Surg 40:40
Iselin M (1962) La plastie en Z rectifiés. Ann Chir Plast 7:295
Jackson IT (1985) General considerations. In: Jackson IT (ed) Local flaps in head and neck reconstruction. Mosby, St Louis, pp 1–34
Karacaoglan N, Uysal A (1994) The seven flap-plasty. Br J Plast Surg 47:372
Limberg AA (1966) Design of local flaps. In: Gibson T (ed) Modern trends in plastic surgery, vol 2. Butterworths, London, pp. 38–61
McGregor IA (1989) The Z-plasty. In: McGregor IA (ed) Fundamental techniques of plastic surgery, 8th edn. Churchill Livingstone, Edinburgh, pp 23–37
Mir y mir L (1973) The six-flap Z-plasty. Plast Reconstr Surg 52:625
Rousso M (1975) Brulures dorsales graves de la main. Reconstruction de la commissure. Technique a cinq lambeaux. Ann Chir 29:475
Vegter F, Hage JJ (1995) The seven flap-plasty (letter). Br J Plast Surg 48:54
Woolf RM, Broadbent TR (1972) The four-flap Z-plasty. Plast Reconstr Surg 49:48
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Vegter, F., Hage, J.J. A theoretical consideration of extensions of the Z-plasty principle. Eur J Plast Surg 20, 71–76 (1997). https://doi.org/10.1007/BF01419135
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DOI: https://doi.org/10.1007/BF01419135