Wound Care Therapy on Raw Surface after V-Y Advancement Flap: A Case Report

Abstract

Abstract

Introduction: The V-Y advancement flap (VYAF) can be used for trauma case of the head and neck and it is commonly used for reconstruction on the cheek or upper lip. This technique uses adjacent from the defect skin that matches in color and texture. Various wound care therapy is used to accelerate the healing process. This study aimed to demonstrate our experience of VYAF procedure for maxillofacial trauma case and combined with wound therapy at home can lead to favorable outcomes.

Case Report: A 41-year-old male patient presented with facial injuries after a motorcycle vehicle accident. Physical examination revealed skin loss, nasolabial penetrating wound, abrasive wounds on the facial area and facial asymmetry. From skull AP-Lateral X-ray revealed there is no signs of skull fracture. The patient underwent wound debridement, and VYAF procedure under local anesthetic. Wound care therapy at home included routine irrigation with antibacterial agent wound irrigation and NaCl solution, and applied wound gel. Clinical outcomes showed gradual improvement with reduced swelling, granulation tissue formation, and excellent wound healing over 15 days.

Discussion: The VYAF procedure with the Langer’s line reference direction can minimize tension and maximize aesthetic outcomes. The application of wound care therapy, including routine irrigation solutions and gel to prevent biofilm, can be a favorable combination after surgical treatment. The limitation of this study is the lack of a comparison group using other types of wound care.

Conclusion: The VYAF procedure and wound care therapy for maxillofacial trauma can lead to excellent outcomes.