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

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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.

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References

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