Article Sidebar

PDF
Date Published: 15/11/2023
Abstract Views: 117
Views PDF: 93
DOI: https://doi.org/10.51298/vmj.v531i2.7116
Issue
Vol. 531 No. 2 (2023)
Section
Các bài báo
How to Cite
Võ , V. V. ., Tống , T. H. ., Đỗ , T. Q. ., Hoàng , T. H. ., & Vũ , Q. V. . (2023). ASSESSMENT OF THE EFFECTIVENESS IN TREATMENT OF COMPLEX HEAD AND FACE DEFECTS CAUSED BY BURNS USING ANTEROLATERAL THIGH FLAP. Vietnam Medical Journal, 531(2). https://doi.org/10.51298/vmj.v531i2.7116

ASSESSMENT OF THE EFFECTIVENESS IN TREATMENT OF COMPLEX HEAD AND FACE DEFECTS CAUSED BY BURNS USING ANTEROLATERAL THIGH FLAP

Văn Việt Võ 1,, Thanh Hải Tống 2, Trung Quyết Đỗ 2, Tuấn Hoàng Hoàng 2, Quang Vinh Vũ 2
1 Military Hospital 4
2 LE HUU TRAC NATIONAL BURNS HOSPITAL

Main Article Content

Abstract

Aim: Evaluating the effectiveness of treatment for head and facial defects caused by burns using a free anterolateral thigh flap (ALT). Subjects and methods: A longitudinal uncontrolled clinical description study on 12 patients with 13 facial head defects covered with 13 ALT free flaps with four retrospective patients from June 2019 to December 2020 and 8 prospective patients from October 2021 to April 2023 at the Plastic and Reconstructive Aesthetic Surgery Centre, Le Huu Trac National Burn Hospital. Results: The skin flap length ranged from 14 cm to 24cm (an average of 19 ± 2.915 cm); the width flap ranged from 8 cm to 14 cm and 11.15 ± 1.463 on average. 100% of the flap is completely survival; the area for the primary healing with nine donor sites was skin grafted and four directly closed suture areas. After three months, the 13/13 flap achieved good results; after six months, the 9/13 flap had good results, and the 4/12 flap had average results. Conclusion: The ALT flap is made of suitable material to cover the complex head and face areas caused by burns with the advantages of high vitality, long and constant vascular peduncle, and flexibility in the form of use.

Article Details

Keywords

Anterolateral thigh flap, head and facial defects, burn sequelae.

References

1. Song Y.-g., Chen G.-z. and Song Y.-l. (1984) The free thigh flap: a new free flap concept based on the septocutaneous artery. British journal of plastic surgery.37 (2): 149-159.
2. Beasley N. J., Gilbert R. W., Gullane P. J.. et al (2004) Scalp and forehead reconstruction using free revascularized tissue transfer. Archives of facial plastic surgery.
3. Nguyễn Hồng Hà (2010) Nghiên cứu ứng dụng tạo hình sớm vết thương phần mềm phức tạo đầu mặt. Luận án Tiến sỹ Y học, Viện nghiên cứu Y Dược Lâm sàng 108.
4. Trần Thiết Sơn (2007) Nhận xét các kết quả tạo hình khuyết lớn da đầu. Tạp chí y học Việt Nam. Tập 339: 137-141.
5. Lutz B., Wei F., Chen H.. et al (1998) Reconstruction of scalp defects with free flaps in 30 cases. British journal of plastic surgery.51 (3): 186-190.
6. Dalay C., Kesiktas E., Yavuz M.. et al (2006) Coverage of scalp defects following contact electrical burns to the head: a clinical series. Burns.32 (2): 201-207.
7. Yildirim S., Gideroğlu K. and Aköz T. (2003) Anterolateral thigh flap: ideal free flap choice for lower extremity soft-tissue reconstruction. Journal of reconstructive microsurgery.19 (04): 225-234.
8. Lee J. C., St-Hilaire H., Christy M. R.. et al (2010) Anterolateral thigh flap for trauma reconstruction. Annals of plastic surgery.64 (2): 164-168.