Dr. HIRANMOYEE DAS

, Dr. HIRANMOYEE DAS

Abstract

Purpose: Reconstruction of lid-cheek junction defects for optimal cosmetic and functional outcome is challenging.

Methods: This video shows important steps in the surgical management of large lid-cheek junction defects with V-Y plasty, 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.

Results: Colour mismatch, dog-ear formation, thickness of flaps, requirement of revision surgery etc. which are the frequent disadvantages of other techniques, described for reconstruction of tissue defects in the lid-cheek junction can be avoided by the inferior-to-superior V-Y advancement flap.

Conclusion: It is simple to design and execute, can be done up to a defect of 8 square cm.