V-Y plasty

V-Y flap

a technique in which a flap is incised in the shape of a V but advanced and inset so that the resulting suture line has the shape of a Y; used to gain additional length of tissue.
Synonym(s): V-Y plasty

V-Y plasty

(vē′wī′ plăs′tē)
n.
A surgical method for lengthening tissues in one direction by cutting in the lines of a V, sliding the two segments apart, and closing in the lines of a Y.

V-Y plas·ty

(plas'tē)
A surgical method for lengthening tissues in one direction by cutting in the lines of a V, sliding the two segments apart, and closing in the lines of a Y.

V-Y plasty

surgical elongation of contracted/congenitally shortened skin; centre point of V incision is placed at point of maximal skin tension and V arms extend outward from centre point; tissue is reapproximated and sutured so that V arms are shortened, and convergent/central V area apposed, i.e. final wound resembles a Y (Figure 1)
Figure 1: (A) V-Y plasty. (B) 'Z' skin plasty. This article was published in Neale's Disorders of the Foot, Lorimer, French, O'Donnell, Burrow, Wall, Copyright Elsevier, (2006).
References in periodicals archive ?
V-Y plasty has been done in 12 cases with good results in 6 cases, fair in 4 and poor result in 2 cases.
of Good Fair Poor Cases Z-plasty 20 14 6 0 Z-plasty with skin graft 10 8 2 0 V-y plasty 12 6 4 2 Transverse incision & 8 4 2 2 Partial thickness skin graft Transverse incision & 6 4 2 0 Bipedical abdominal flap Transverse incision & Groin flap 2 2 0 0 Transverse incision & Bipedical 2 2 0 0 abdominal flap with partial thickness skin graft Total 60 40 16 4
The nose was opened using a V-Y plasty along the midphiltrum because of the soft-tissue deficiency along the columella and the need to recruit an extra skin envelope to allow closure over the grafts (figure 2).
The most common among them were, reconstruction with v-y plasty, if the defect is less than 3cms, reconstruction with Peroneus brevis (PB), (3, 4) or Flexor halucis longus (FHL) (5, 6) tendons transfers if the defect is more than 3cms.
After excision of scar tissue, the defect was more than 4cms in all our cases hence reconstruction with v-y plasty was not performed, and opted to go for reconstructive procedures only.