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Profunda artery perforator based V ‐ Y rotation advancement flap for total vulvectomy defect reconstruction—A case report and literature review
Author(s) -
Chen YenChou,
Scaglioni Mario F.,
Kuo YurRen
Publication year - 2015
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/micr.22498
Subject(s) - medicine , vulvectomy , surgery , vulva , perforator flaps , anatomy , vulvar cancer
Reconstruction of total vulvectomy defect represents a challenge, and reconstructive methods include skin graft, local skin flap, musculocutanous flap, and pedicled perforator flap. We report a case of a 63‐year‐old patient affected by extramammary Paget's disease of vulva who underwent total vulvectomy receiving reconstruction with bilateral profunda artery perforator based V‐Y rotation advancement flap. The literature about vulva reconstruction was reviewed. This innovative flap design combined the classic rotation flap and V‐Y advancement flap with inclusion of the profunda artery perforators to augment the flap blood supply. Besides, the internal pudendal nerve was preserved to maintain the sensation of the neo‐uvula. The flap survived completely without major post‐operative complications with 9‐months follow‐up. Profunda artery perforator based V‐Y rotation advancement flap may represent a valuable option in total vulvectomy defect reconstruction. © 2015 Wiley Periodicals, Inc. Microsurgery 35:668–671, 2015.