Innovative Application and Clinical Evaluation of the Wang-Yang Flap in the Reconstruction of Depressed Tissue Deformities
Summary:. The Wang-Yang (W-Y) flap is a novel surgical technique for reconstructing depressed scars and congenital earlobe clefts in pediatric patients. This study evaluated its clinical efficacy and outcomes. Three pediatric patients underwent W-Y flap reconstruction: one with a posttraumatic depre...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2025-07-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006997 |
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| author | Faliang Wang, MD Ming Yang, MD Chenchen Gong, MD Xiong Zhao, MD Wenhao Chen, MD |
| author_facet | Faliang Wang, MD Ming Yang, MD Chenchen Gong, MD Xiong Zhao, MD Wenhao Chen, MD |
| author_sort | Faliang Wang, MD |
| collection | DOAJ |
| description | Summary:. The Wang-Yang (W-Y) flap is a novel surgical technique for reconstructing depressed scars and congenital earlobe clefts in pediatric patients. This study evaluated its clinical efficacy and outcomes. Three pediatric patients underwent W-Y flap reconstruction: one with a posttraumatic depressed scar on the lower lip and two with congenital earlobe clefts, 4–14 years of age. All procedures were performed under general anesthesia. For the lower lip scar, a full-thickness incision with meticulous dissection was performed to release surrounding tissue and reconstruct the orbicularis oris muscle, followed by W-Y flap advancement to achieve tension-free closure. In earlobe cleft cases, a similar surgical approach was applied, ensuring optimal contour restoration and functional outcomes. Postoperative recovery was uneventful, with no complications such as infection, hematoma, or flap necrosis observed at the 1-week follow-up. At the latest follow-up, which exceeded six months in all patients, the majority demonstrated favorable healing, with well-integrated reconstructions, minimal scarring, and no significant pigmentation or deformity. Most patients reported high satisfaction with both functional and aesthetic results. The W-Y flap is an effective and reliable technique for the reconstruction of pediatric lip and earlobe defects. By ensuring robust vascularity and minimal donor-site morbidity, it offers superior aesthetic and functional outcomes with a low complication rate. These findings support its clinical utility as a valuable addition to pediatric reconstructive surgery. |
| format | Article |
| id | doaj-art-a618fef030fa49bc8796ee78e522e2a3 |
| institution | Kabale University |
| issn | 2169-7574 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj-art-a618fef030fa49bc8796ee78e522e2a32025-08-26T03:24:18ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-07-01137e699710.1097/GOX.0000000000006997202507000-00073Innovative Application and Clinical Evaluation of the Wang-Yang Flap in the Reconstruction of Depressed Tissue DeformitiesFaliang Wang, MD0Ming Yang, MD1Chenchen Gong, MD2Xiong Zhao, MD3Wenhao Chen, MD4From the * Department of Burn and Plastic Surgery, Children’s Hospital, School of Medicine, Zhejiang University, National Clinical Research Center for Child Health, Hangzhou, ChinaFrom the * Department of Burn and Plastic Surgery, Children’s Hospital, School of Medicine, Zhejiang University, National Clinical Research Center for Child Health, Hangzhou, ChinaFrom the * Department of Burn and Plastic Surgery, Children’s Hospital, School of Medicine, Zhejiang University, National Clinical Research Center for Child Health, Hangzhou, ChinaFrom the * Department of Burn and Plastic Surgery, Children’s Hospital, School of Medicine, Zhejiang University, National Clinical Research Center for Child Health, Hangzhou, China† Department of Orthopedics, Children’s Hospital, School of Medicine, Zhejiang University, National Clinical Research Center for Child Health, Hangzhou, China.Summary:. The Wang-Yang (W-Y) flap is a novel surgical technique for reconstructing depressed scars and congenital earlobe clefts in pediatric patients. This study evaluated its clinical efficacy and outcomes. Three pediatric patients underwent W-Y flap reconstruction: one with a posttraumatic depressed scar on the lower lip and two with congenital earlobe clefts, 4–14 years of age. All procedures were performed under general anesthesia. For the lower lip scar, a full-thickness incision with meticulous dissection was performed to release surrounding tissue and reconstruct the orbicularis oris muscle, followed by W-Y flap advancement to achieve tension-free closure. In earlobe cleft cases, a similar surgical approach was applied, ensuring optimal contour restoration and functional outcomes. Postoperative recovery was uneventful, with no complications such as infection, hematoma, or flap necrosis observed at the 1-week follow-up. At the latest follow-up, which exceeded six months in all patients, the majority demonstrated favorable healing, with well-integrated reconstructions, minimal scarring, and no significant pigmentation or deformity. Most patients reported high satisfaction with both functional and aesthetic results. The W-Y flap is an effective and reliable technique for the reconstruction of pediatric lip and earlobe defects. By ensuring robust vascularity and minimal donor-site morbidity, it offers superior aesthetic and functional outcomes with a low complication rate. These findings support its clinical utility as a valuable addition to pediatric reconstructive surgery.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006997 |
| spellingShingle | Faliang Wang, MD Ming Yang, MD Chenchen Gong, MD Xiong Zhao, MD Wenhao Chen, MD Innovative Application and Clinical Evaluation of the Wang-Yang Flap in the Reconstruction of Depressed Tissue Deformities Plastic and Reconstructive Surgery, Global Open |
| title | Innovative Application and Clinical Evaluation of the Wang-Yang Flap in the Reconstruction of Depressed Tissue Deformities |
| title_full | Innovative Application and Clinical Evaluation of the Wang-Yang Flap in the Reconstruction of Depressed Tissue Deformities |
| title_fullStr | Innovative Application and Clinical Evaluation of the Wang-Yang Flap in the Reconstruction of Depressed Tissue Deformities |
| title_full_unstemmed | Innovative Application and Clinical Evaluation of the Wang-Yang Flap in the Reconstruction of Depressed Tissue Deformities |
| title_short | Innovative Application and Clinical Evaluation of the Wang-Yang Flap in the Reconstruction of Depressed Tissue Deformities |
| title_sort | innovative application and clinical evaluation of the wang yang flap in the reconstruction of depressed tissue deformities |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006997 |
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