NHẬN XÉT KẾT QUẢ SỬ DỤNG TỔ CHỨC TẠI CHỖ TRONG TẠO HÌNH KHUYẾT DA ĐẦU SAU CẮT UNG THƯ

Abstract

Objectives: This study will describe the clinical features and introduce a classification of the scalp defect after cancer resection; evaluation of the surgical effectiveness of scalp defect treatment by local tissue. Subjects and methods: 25 patients with scalp defects following cancer tumor resection are treated by reconstructive surgery with local flaps; Non-controlled clinical intervention, prospective study. Results: The main cause is squamous and basal cell epithelial cancer; type scalp defects more than 20 cm² following cancer tumor resection has been covered by using local flap combined with skin grafting accounts for 52%. The good short-term results were 68%; the good far results were 80%. Conclusion:The most common scalp lesions are the apex, apex - occipital and temporal regions, with moderate and large defects accounting for 72%, with 28% of deep infiltrates (sclera, bone, meninges). Direct closure  with small defects (<5 cm2) and the use of random skin flaps with medium defects (5-20 cm²) are completely appropriate. Superficial temporal artery or occipital artery pedicle combined  with  split  skin graft to cover  the flap  for large defects (>20cm²) is a useful and safe option, giving the best results especially for the group of elderly patients has many underlying pathological factors, their health status is not guaranteed for other methods such as skin expanding, microsurgery.