10. Đánh giá kết quả tạo hình bằng vạt tại chỗ sau cắt bỏ ung thư da tế bào đáy vùng má

Abstract

This study assessed the results of using a local flap to cover defect after surgery for basal cell carcinoma in the cheek area. We had a cross-sectional study of 28 patients (13 males and 15 females, aged from 26 to 87) who underwent reconstruction by a local flap to cover the cheek defect after resection of basal cell carcinoma; the study was conducted at the Head and Neck Surgery Department of Vietnam National Cancer Hospital between June 2018 and June 2021; results were assessed during hospital stay and 6 months after surgery. The most affected site was infraorbital, with 57.1%. These defects after resection varied from 1.5 × 1.5cm to 5 × 8cm which were covered by 15 rotation flaps, 7 transposition flaps and 6 advancement flaps. After surgery, 100% of flaps survived completely, 9 cases caused contraction of surrounding organs. Follow-up after 6 months with 20 patients showed good results in scarring, similarity in color, flap thickness, and the condition of contraction of surrounding organs is significantly improved. The study showed that cheek defect reconstruction by using local flap after surgery for basal cell carcinoma achieved good results both in function and in asthetic. The size, position, and type of flap used are the main factors affecting the surgical outcome.