Monday, 28 February 2022

Reconstruction of Facial Defect with Local Facial Flaps in Cases of Skin Malignancies | Chapter 22 | Issues and Developments in Medicine and Medical Research Vol. 9

 Background: Because the face symbolises a person's entire personality, sufficient cosmetic repair is essential. Treatment options for a skin malignant lesion on the face vary depending on the size and location of the defect.

The goal of this study was to see how versatile a local flap could be for a defect formed by a large local excision of a skin malignant lesion on the face.

Methods: Between June 2016 and May 2018, we included 30 instances of skin cancer on the face in our Institute. In the age category of 45 to 65 years, 20 patients (66.6 percent) were male and 10 patients (33.3 percent) were female. Basal cell carcinoma was found in 17 cases, squamous cell carcinoma in 10 cases, and malignant melanoma in three cases. Tumors were surgically removed with safe margins, and abnormalities were repaired with local face flaps. The early surgical problems were assessed, and the cosmetic outcome and patient satisfaction were assessed six months later.

Results: Thirty patients with small to medium-sized defects (3-6 cm) were treated with the V-Y advancement flap, seven instances with the nasolabial flap, eight cases with the forehead flap, four cases with the Limberg flap, and four cases with the cheek advancement flap. There were no problems after surgery, and the functional and aesthetic outcomes were both satisfactory. After 6 months, 15 patients (50 percent) had excellent outcomes, whereas 8 patients had good results (27 percent), and 5 patients had fair results (17 percent).

Conclusions: Local facial flaps are the simplest and best alternative for reconstructing small to medium-sized facial anatomic defects while also providing excellent skin colour and texture match.


Author(S) Details

Jagdeep Rao
Department of Burns, Plastic and Reconstructive Surgery, S.M.S Hospital, Jaipur, Rajasthan, India.

Nikita G. Rolekar
Department of Burns, Plastic and Reconstructive Surgery, S.M.S Hospital, Jaipur, Rajasthan, India.

Pradeep Goil
Department of Burns, Plastic and Reconstructive Surgery, S.M.S Hospital, Jaipur, Rajasthan, India.

View Book:- https://stm.bookpi.org/IDMMR-V9/article/view/5857

No comments:

Post a Comment