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Comparison between Z-plasty and V-Y Advancement for the Surgical Correction of Cryptotia
조영규,배성건,조병채 대한두개안면성형외과학회 2014 Archives of Craniofacial Surgery Vol.15 No.1
Background: Cryptotia correction by V-Y advancement of a temporal triangular flapwas introduced in 2005. However, despite the several advantages of V-Y advancement,visible scars at the donor site are problematic. As a result, a Z-plasty techniquewas considered for skin deficiency in mild cases. Therefore, we introduce a newsurgical scheme for cryptotia correction based on considerations of techniques andcomplications that arose in our clinic. Methods: Between 2000 and 2013, 26 patients (35 cases) of cryptotia were treated. Seventeen patients had unilateral cryptotia and nine had bilateral cryptotia. Twocorrective methods were used, Z-plasty or V-Y advancement, based on the severity. Inmild cases, Z-plasty was used for correction and in severe cases, V-Y flap advancementwas used for more skin supplement. Results: Follow-up periods ranged from 6 months to 1.5 years. The results obtainedwere relatively favorable. Nine cases of mild deformity were corrected by Z-plasty, andthe other 26 cases with mild or severe deformities were corrected by V-Y advancement. In Z-plasty cases, there was one hypertrophic scar and in V-Y advancement cases,seven resulted in visible scarring and three in skin sloughing. Conclusion: The main advantage of Z-plasty is a lower likelihood of visible scarring atthe donor site. In mild cases, Z-plasty may be a good alternative, but in severe cases,V-Y advancement is probably the best option for more skin supplement.
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Our Experiences in Nipple Reconstruction Using the Hammond flap
양정덕,류정엽,류동완,권오현,배성건,이정우,최강영,정호윤,조병채 대한성형외과학회 2014 Archives of Plastic Surgery Vol.41 No.5
Background: Nipple reconstruction following breast mound reconstruction is the final step inbreast reconstruction. Although nipple reconstruction is a simple surgery, the psychologicalaspects of nipple reconstruction are thought to be important. Nipple projection is a key factorin determining patient satisfaction with the surgery. In the present study, the Hammond flaptechnique was introduced for nipple reconstruction. Methods: Twenty-six patients who had undergonebreast reconstruction from February 2008to March 2012 were enrolled in this prospectivestudy. All patients were evaluated based onpreoperative photos, and their nipple diametersand heights were measured. Postoperativeevaluation was conducted 3, 6, 9, and 12 months following nipple reconstruction. Aquestionnaire on patient satisfaction with the nipple reconstruction was administered 12months after nipple reconstruction. Moreover, the same plastic surgeon scored nippleprojection and overall cosmetic result of the new nipple. Results: The mean projection was 4.4 mm (range, 3–6 mm), and it well matched the contralateralnipple. Twelve months following nipple reconstruction, the mean reduction rate inthe nipple projection was 43.6%. Patients were satisfied or very satisfied with the nippleprojection and the overall cosmetic result in 80.7% cases. Conclusions: In the present study, compared with other techniques, the use of the Hammondflap technique in nipple reconstruction showed competitive results with regard to nippleprojection and patient satisfaction.
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