Premalignant and malignant conditions of the skin may sometimes require excision of extensive areas of the skin and subcutaneous tissues. Coverage of the ensuing raw area may be afforded by allowing healing by secondary intention, skin grafts, or flaps. Wide excision of the perianal skin poses special problems. We describe the use of bilateral V-Y advancement flaps for the management of an extensive defect resulting from the wide excision of squamous cell carcinoma arising in scarred perianal skin.
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References
1.
FundaroS., SpallanzaniA., RicchiE.Squamous-cell carcinoma developing within anal lichen planus: report of a case.Dis Colon Rectum1998; 41: 111–4.
2.
Ruiz-de-ErenchunR., RodriguezN., HernandezJ.L., Garcia-TutorE.Reconstruction of a perianal defect after basal cell carcinoma using bilateral V-Y advancement fasciocutaneous flaps.Plast Reconstr Surg2003; 111: 1360–2.
3.
FosterR.D., AnthonyJ.P., MathesS.J.Flap selection as a determinant of success in pressure sore coverage.Arch Surg1997; 132: 868–73.
4.
SagherU., KrauszM.M., PeledI.J.V-Y plasty for perianal reconstruction after resection of tumor.Surg Gynecol Obstet1992; 175: 31–2.
5.
HassanI., HorganA.F., NivatvongsS.V-Y island flaps for repair of large perianal defects.Am J Surg2001; 181: 363–5.
6.
BormanH., MaralT.The gluteal fasciocutaneous rotation-advancement flap with V-Y closure in the management of sacral pressure sores.Plast Reconstr Surg2002; 109: 2325–9.
