Reconstruction of large facial defects via excision of skin cancer by using mandibular flap
10.3760/cma.j.issn.1009-4598.2019.07.013
- VernacularTitle: 下颌缘皮瓣修复中老年面部恶性肿瘤术后缺损
- Author:
Xi CHENG
1
;
Yong ZHANG
1
;
Qiaofei YANG
1
;
Xiaoxin MOU
2
;
Jun MOU
2
;
Liqun LI
3
Author Information
1. Department of Plastic Surgery, First Hospital of Taizhou, Taizhou 318020, China
2. Department of Burn Surgery, First Hospital of Taizhou, Taizhou 318020, China
3. Department of Plastic Surgery, First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China
- Publication Type:Journal Article
- Keywords:
Mandibular Flap;
Facial defect;
Surgical flaps
- From:
Chinese Journal of Plastic Surgery
2019;35(7):677-680
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of the mandibular flap application on one-stage repairing facial large defects after resection of skin tumors.
Methods:Thirteen patients with malignant facial skin tumors were treated from June 2016 to June 2018 in Taizhou First Hospital department of Plastic Surgery. The lesion included zygomatic in 3 cases (including 2 cases of non-adjacent defects in zygomatic area), buccal area area in 2 cases, parotid masseter in 6 cases and compound area in 2 cases. Pathological findings included 8 cases of squamous cell carcinoma, 4 cases of basal cell carcinoma and 1 case of fibrosarcoma. Using Mohs method resect the skin tumor (Rapid pathology intraoperatively to ensure lesion was all removed ). According to the diameter and location of the defect, the mandibular Flap was used to repair the large scale defects in a one-stage operation.
Results:All mandibular Flap survived. During a follow-up period from 6 to 24 months, all patients obtained excellent functional and aesthetic result, and none had local recurrence.
Conclusions:The flexible application of mandibular Flap can basically solve the problem of repairing a large area of facial skin and soft tissue defect in zygomatic, buccal and parotid masseter of the face, which is one of the ideal methods to repair the tissue defects after resection of facial malignant tumor for the middle and old age.
