PMID: 11324886Apr 28, 2001Paper

"Pac Man" flap for closure of pressure sores

Annals of Plastic Surgery
I Mithat AkanO Sensöz

Abstract

The purpose of this study was to modify the classic bilateral V-Y advancement flap procedure to decrease the tension in its closure and to break the midline vertical scar by interdigitating the flaps. After debridement of a pressure sore, the V-Y flaps were marked on both sides of the wound. Skin incisions were carried down to the muscle fascia along the sides of the flaps. The upper and lower limbs of the V-shaped flaps were elevated as triangular flaps but remained attached to the main flap. The tip of the upper limb of one of the flaps was transposed into the defect and sutured to the contralateral V-Y flap at the midpoint of its concave side facing the defect. The lower limb of the contralateral flap was then transposed into the defect and sutured to the first V-Y flap. To complete the interdigitated closure, the lower limb of the first flap was sutured below the contralateral flap, and the upper limb of the contralateral flap was sutured above the first flap. The final view of the flaps was similar to "Pac Man," so the authors decided to call this flap the Pac Man flap. The flaps healed well in all patients, and wound breakdown or recurrence of the pressure sore was not observed during the 3 to 14-month follow-up.

References

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Citations

Jun 5, 2002·Plastic and Reconstructive Surgery·Huseyin Borman, Tugrul Maral
Jun 26, 2007·Annals of Plastic Surgery·Efstathios G LykoudisGeorgia-Alexandra Ch Spyropoulou
Feb 14, 2013·Annals of Plastic Surgery·Nezih SungurUğur Koçer
Oct 7, 2004·Plastic and Reconstructive Surgery·Shigeru IchiokaTakashi Nakatsuka
May 6, 2008·Plastic and Reconstructive Surgery·Mithat Akan
May 19, 2005·Annals of Plastic Surgery·M Gürhan UlusoyMurat Gümüş
Aug 27, 2021·Annals of the Royal College of Surgeons of England·W K Albayati, Y N Qassim

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