W-plasty: Evolution of Surgical Technique
W-plasty is
an excisional technique, which involves breaking up the scar margins into small triangular components, which are simply advanced without rotation or transposition
.
When do you use W-plasty?
W-Plasty Improves Cosmetic Outcomes in Patients with
Facial Lacerations
. At 10 days and 6 months, scars looked significantly better with W-plasty than with simple closure. W-plasty is a plastic surgery technique for closure of wounds that are not aligned with skin tension lines.
Is plasty plastic surgery?
Z-plasty is
a plastic surgery technique
that is used to improve the functional and cosmetic appearance of scars.
What type of flap is Z-plasty?
The fundamental unit of a Z-plasty is a
triangular double transposition flap
. However, as with most lifting flaps, there are also elements of rotation and advancement. In a classic Z-plasty three incisions of equal length create two equilateral triangular flaps (see Figures 1(b) and 1(c)).
What is the suffix of plasty?
Suffix. -plasty. (medicine)
Repair or restoration of a part or function
. Molding or shaping through a surgical procedure.
What is a rotational skin flap?
A rotation flap is
a semicircular flap of skin and subcutaneous tissue that rotates about a pivot point into a defect
. The donor site is typically repaired with wide undermining and direct, layered closure. The vector of greatest tension is directed from the pivot point outward to the defect’s furthest radial point.
What does ectomy mean medical?
Ectomy:
The surgical removal of something
. For example, a lumpectomy is the surgical removal of a lump, a tonsillectomy is the removal of the tonsils, and an appendectomy is removal of the appendix.
Who described Z-plasty?
A publication by
Berger
in 1904 noted equal limbs and equal angles. In 1914, Morestin proposed multiple Z-plasties. However, it was Limberg, in 1929, who delved into the dynamics of the flap being a rotational and advancement flap. In 1973, Borges provided a review of the developmental history of the Z-plasty.
What is the medical term for surgical repair?
✹ -plasty
= surgical repair or. reconstruction.
What is Z-plasty CPT code?
Codes
14000-14302
are used for excision (including lesion) and/ or repair by adjacent tissue transfer or rearrangement (e.g., Z-plasty, W-plasty, V-Y plasty, rotation flap, random island flap, advancement flap).
How does Z-plasty work?
The Z-plasty is a form of scar irregularization where
triangular flaps are transposed on both ends of a linear scar to increase the length and reorient the direction of the scar
. It is usually performed on a tightly contracted scar. Z-plasties are particularly useful in effacing and elongating webbed scars.
What is a neck Z-plasty?
Named after a vertical Z-shaped incision made along the neck, the Z-Plasty involves
a surgical incision made underneath the chin to remove the fat
. The lax platysma muscle is then bound with sutures. A Z-Plasty neck lift removes the excess skin and fat from the front of the neck closing the scar in a “Z” pattern.
Is plasty a suffix or prefix?
Suffix
meaning molding, shaping or the result thereof, as of a surgical procedure.
What is the root word of plasty?
word-forming element meaning “act or process of forming,” also “plastic surgery” applied to a specific part, from
Greek -plastia, from plastos “molded, formed,” verbal adjective from plassein “to mold”
(see plasma).
What is a medical suffix?
Medical terms always end with a suffix.
3
.
The suffix usually indicates a specialty, test, procedure, function, condition/disorder, or status
. For example, “itis” means inflammation and “ectomy” means removal. Alternatively, the suffix may simply make the word a noun or adjective.
What are the types of flaps?
There are four basic types of flaps:
plain, split, Fowler and slotted
. The plain flap is simply a hinged portion of the trailing edge. Split type flaps are hinged at the bottom of the wing and create much more drag than plain flaps.
What is a transposition flap?
Transposition flaps
recruit noncontiguous donor tissue that is incised and shifted to trade places with intact tissue in order to close a wound
. This allows the use of skin from areas of less tension, and directs incision tension vectors more favorably.
What is a keystone flap?
The keystone flap is
a fasciocutaneous flap supplied by perforating arteries
. It is used in dermatology to repair surgical defects in areas with low skin extensibility (the upper and lower limbs and the back).
What is compound word for ectomy?
Definition of -ectomy
a combining form meaning “excision” of the part specified by the initial element, used in the formation of compound words:
tonsillectomy
.
What is the suffix of ectomy?
The suffix (-ectomy) means
to remove or excise
, as typically done in a surgical procedure. Related suffixes include (-otomy) and (-ostomy). The suffix (-otomy) refers to cutting or making an incision, while (-ostomy) refers to a surgical creation of an opening in an organ for the removal of waste.
What is the meaning of Aden O?
Adeno-:
Prefix referring to a gland
, as in adenoma and adenopathy. From the Greek aden meaning originally “an acorn” and later “a gland” in the form of an acorn. Before a vowel, adeno- becomes aden-, as in adenitis (inflammation of a gland).
