Correction of Cord Like Scars Using Running Opposing Y-V Plasty

Linear scars are a common problem in the plastic surgerypractice. Release is the first step in surgical treatment. Skingrafts, Z-plasty, local, regional or free flaps are used tolengthen the scar. In this article, we will use running y-v flapsfor scar lengthening. From January 2016 to April 2017, 20linear burn contractures of 15 patients were corrected usingmultiple Opposing Y-V plasty. Patients were followed-up fora period of 6 months at least. All scar contractures werecorrected successfully in all cases. One partial flap necrosiswas observed and managed successfully with dressing changes.During the follow up period, only one case showed recurrenceof contracture and required release and local advancementflap. linear scar contracture treatment modalities vary largely.Options for reconstruction include skin grafts, Z plasty andY-V flaps. Skin grafts carry the risks of recurrence of contractures.Z plasty should include flap undermining before flaptransposition which carries the risks of flap necrosis especiallyin burned skin. Multiple Y-V flaps carry the advantages oflow rate of scar recurrence and secondary contractures andhave the merits of being a safe technique with low incidenceof flap necrosis. Running Opposing Y-V-plasty is an optionfor correction of linear cord-like burn scar contractures. Ithas the advantages of being a safe and effective method withlaw morbidity.