7. Đánh giá kết quả sử dụng vạt tại chỗ tạo hình khuyết da đầu sau cắt bỏ ung thư da tế bào đáy

Abstract

We evaluate the result of local flaps reconstruction for scalp defects after basal cell carcinoma excision. This was a non -control clinical intervention study on 15 patients (8 males and 7 females, aged from 56 to 90 years), who underwent reconstructing by a local flap to cover the scalp defect after basal cell carcinoma excision at the Department of Head and Neck Surgery, K Hospital from May 2018 to May 2022. Outcomes were assessed during hospitalization and more than six months after surgery. The defect size after tumor resection was from 7.07cm2 to 58.90cm2; they were covered by 7 transposition flaps, 5 advancement flaps and 4 rotation flaps. After surgery, 100% of the flaps was completely alive and covered the defect entirely. There were 5 cases of delayed wound healing and no case of infection. Follow-up after 6 months on 15 patients showed good results on scars, similarity in color, flap thickness, no tissue pulling; 9/13 scalp flaps had good hair growth. Research results showed that the defect reconstruction after resection of scalp basal cell carcinoma by local flap brought good functional and aesthetic results. The location and size of the defect were the main factors influencing the selection of suitable flap and the surgical outcome.