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EVALUATION OF THE RESULTS OF DEFECT RECONSTRUCTION IN SCALP CANCER SURGERY AT K HOSPITAL
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Abstract
Objective: To evaluate the results of defect reconstruction in scalp cancer surgery at K Hospital. Subjects and methods: including patients who underwent scalp cancer surgery at K Hospital from January 2021 to September 2024, the pathology was scalp cancer. The study was retrospective and prospective. Results: Mean age: 40.48 ± 19.33. Common scalp cancers: epithelioid sarcoma (26.2%), squamous cell carcinoma (19.1%), sebaceous carcinoma (14.3%). The rate of scalp cancer invading the skull was 21.4%. The area of defect skin after scalp cancer surgery was larger than 5cm2 (64.3%). The main defect reconstruction methods were rotation of the pedicled skin flap covering the defect and thick skin grafting, accounting for 50%, rotation of the trapezius muscle flap, accounting for 14.3%. Evaluation of results 3 months after surgery: the rate of excellent and good wound healing was 90.5%. The rate of poor and poor wound healing in the postoperative adjuvant radiotherapy group was 17.6%, in the group without adjuvant radiotherapy was 4%, there was no difference in the rate of fair or poor wound healing with patients with postoperative adjuvant radiotherapy (p>0.05). Conclusion: Pedicle flap reconstruction to cover the defect after surgery for scalp cancer gave good results.
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Keywords
scalp cancer, scalp defect, scalp reconstruction
References
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