Role of flap reconstruction of facial defects following skin cancer resection in Vachira Phuket hospital
Keywords:
skin cancer, head and neck, flap reconstructionAbstract
Objective : To study anatomic site distribution, histologic type, completed resection ratio, recurrence rate and complication of head and neck skin cancer resection with flap coverage.
Materials and Methods : A descriptive retrospective study was conducted by retrospective review of medical records of head and neck skin cancer patients requiring local flap reconstruction in Vachira Phuket hospital from July 2018 until December 2019.
Results : The authors identified 35 pateints for 19 male and 16 female with head and neck skin cancer who underwent local flap closure. The average age was 66(+16.4 years). Cheek and lip was the most common area that have been found 37 percent, nose 31 percent scalp 17 percent forehead 6 percent auricle 6 percent eyelid 3 percent respectively. The majority of histopathological report was basal cell carcinoma 77 percent squamous cell carcinoma 11 percent Malignant melanoma 3 percent and others malignancy 9 percent. Completed resection ratio was 26:9 or 83 percent. Complications in this study were partial flap loss 6 percent and organ malfunction 3 percent.
Conclusion : Head and neck skin cancer that coverage with local flap transfer is one of treatment in cases of unable to direct closure. The author believe that local flap reconstruction is optimum option because of a lower rate of flap complications
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