ĐÁNH GIÁ KẾT QUẢ SỚM PHẪU THUẬT MỞ CẮT UNG THƯ BIỂU MÔ MŨI XOANG GIAI ĐOẠN MUỘN CÓ TẠO HÌNH BẰNG VẠT ĐÙI TRƯỚC NGOÀI

Abstract

Objective: To evaluate the early outcomes of open surgery for advanced-stage sinonasal squamous cell carcinoma with reconstruction using anterolateral thigh (ALT) flap. Subjects and Methods: A descriptive study was conducted on 15 patients diagnosed with sinonasal squamous cell carcinoma stage T3–T4a, NxM0, treated at the Center for Oncology and Head & Neck Surgery – National ENT Hospital and the Department of Maxillofacial Plastic Surgery – Viet Duc University Hospital, from January 2020 to September 2023. Results: The rate of complete tumor resection, both macroscopically and microscopically, was 100%. All flaps survived, with 93.3% achieving adequate coverage of the defect area. No intraoperative or postoperative mortality was observed. The overall postoperative complication rate was low (26.8%), including one case of wound infection, one case of aspiration pneumonia, one case of oronasal fistula, and one case of cerebrospinal fluid leak. No postoperative hemorrhage was recorded. These complications had minimal impact on the initiation of adjuvant radiotherapy. Conclusion: Open surgery for advanced-stage sinonasal squamous cell carcinoma demonstrates high efficacy in achieving wide tumor resection and good complication control. The 100% success rate in reconstruction with the ALT flap highlights its superiority in repairing complex defects in the sinonasal region.