M-Y Plasty: a simple technique for the Reconstruction of Sma
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In this case series, doctors demonstrate that peri-orbital small to medium-sized skin defects can be treated by a direct closure associated with an M-Y plasty. By crossing the orbital eyelid, this technique allows avoiding large undermining and longer scars that are usually associated with the use of local flaps in this region.

Twenty patients were operated on, for the removal of periorbital skin tumors. Eleven were at high risk of developing delayed healing, postoperative hematoma, or showed very thin skin, poorly prone to tolerate a large undermining. The defect size was between 1.5 to 13 cm2. All the defects underwent a direct closure with an M-Y plasty.

Eighteen patients healed without any complication. Two had delayed healing at the Y junction. No hematoma, abscess, cutaneous necrosis, or unaesthetic deformity were recorded. The majority of the patients had significant comorbidities so that a flap reconstruction was considered too aggressive.

In particular, researchers here demonstrate that through a direct closure associated with a plasty, patients could all benefit from an oncological excision, with a safe reconstruction and very few complications.

Indian Journal of Surgery
Source: https://doi.org/10.1007/s12262-021-02799-x
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