NHẬN XÉT CÁC PHƯƠNG PHÁP PHẪU THUẬT ĐIỀU TRỊ BỆNH NHÂN KHUYẾT HỔNG PHẦN MỀM SAU CẮT BỎ KHỐI U VÙNG MẶT

Abstract

Objective: Review surgical methods for treating patients with soft tissue defects after facial tumor removal at Nghe An General Friendship Hospital. Methods: Cross-sectional descriptive study design on 34 patients with soft tissue defects in the facial area after tumor removal and reconstruction with local flaps. Results: Push-up flap was used the most (55.88%), followed by island flap (20.59%), rotation flap (14.71%), and axial vascular flap (8.82%). The push-up flap is used in most soft tissue defects with deep defects in the cheek area (7 cases and the eye area (8 cases); the axial flap is only used in the nose area with a deep defect base). mucosa in 3 cases; the island flap has 4 cases of deep defects with an area of over 3cm2 in the nose area using the nasolabial groove flap as the upper pedicle vascular axis, the remaining 3 cases using the nasolabial groove flap as the lateral peduncle vascular axis below for the lip defect area with an area of less than 1cm2; There are 5 rotation flaps, including 3 defects in the cheek area and 2 defects in the eye area with flap size from 1-3 cm2 in 3 cases, over 3 cm2 in 2 cases. Conclusion: Push-up flaps are the most used in plastic surgery for patients with soft tissue defects in the face. Using local flaps is highly effective in shaping and covering defects patient.