Efficacy of local flap for repair of post-tumor surgery on the face
Objective To investigate the efficacy of local flap for repair of post-tumor surgery on the face.Methods Forty-one patients with facial skin tumors,including basal cell carcinoma(19 cases),squamous cell carcinoma(16 cases),pigmented nevus(5 cases),and 1 case of ep-idermal cyst with infection,who were surgically treated at the First People's Hospital of Zunyi City from January 2018 to March 2023,were included in this study.According to the site and the size of postoperative facial defects,various types of local flaps were used for one-stage repair of the de-fects,including transposition flaps,advancement flaps,and rotational flaps.Those with malignant tumors were pathologically proven to be free of tumor cells at the margins and base first,and then local flaps were used for repair.All the defects were repaired without too much tension on the inci-sion margins when subcutaneous sutures and skin sutures were performed.The sutures were re-moved 5 to 7 days after surgery.Results At the time of suture removal,all local flaps in 41 pa-tients survived with normal facial contour and with no distortion of the free edges.At the follow-up of 6 to 12 months,the function,skin color and texture appeared normal without local pulling de-formation or hyperplastic scar in the operated area.Conclusion Local flap repair of facial defects displays good functional and cosmetic outcomes.
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