NGHIÊN CỨU ỨNG DỤNG VẠT DA CÂN NHÁNH XUYÊN ĐỘNG MẠCH CỔ NÔNG ĐIỀU TRỊ SẸO CO KÉO VÙNG CẰM CỔ VÀ LOÉT MẠN TÍNH VÙNG ĐỈNH CHẨM

Abstract

Objectives: Research on the superficial cervical artery perforator flap in the treatment of cervical scar contractures and apex occipital chronic ulcer. Subjects and methods: A descriptive study of case series performed on 25 patients with cervical scar contractures and apex occipital chronic ulcer who were operated on using superficial cervical artery perforator flap at the Center of Plastic, Aesthetic and Reconstructive Surgery, National Institute of Burns from october 2014 to june 2020 Indications for surgery in these patients are limit movement of cervical, loss of aesthetics and chronic ulcers. Results: We obtained 24 patients with cervical scar contractures and 01 patient with oppicital chronic ulceration. Regarding the clinical characteristics, we noted that the proportion of men accounted for the majority of 52%, the ratio of male: female was 1.1:1. The mean age of the patients was 36 years old. The average flap size was 23.36cm in length and was 10.56 cm in width, the largest flap size obtained was 30 x 12 cm. The average skin flap rotation angle is 84.2 degrees. 96% of the skin flaps were found to be good healing after surgery, there was 1 case of necrotic skin flaps < 1/3 of the flap area. There was an improvement in head movement: before surgery: 93 degrees, 1-3 months after surgery: 114.4 degrees and 129 degrees after 6-24 months. Conclusion: The superficial cervical artery perforator flap in  treatment of cervical scar contracture and oppicital chronic ulcer were good results.