OBJECTIVE: To investigate postoperatively repairing methods and their clinical effects of the olders over 80 years old with head and facial skin malignancies. METHOD: Eighteen cases of skin cancers in the head and face, whose malignancies were resected with Mohs microscopic surgery, according to the local or systemic condition of patients after surgery we choose different repairing methods: free skin flap grafting in 2 cases, local skin flap transferring 12 cases; including rotation skin flap grafting 6 cases, sliding flap 4 cases, nasolabial flap 2 cases; transposition flap 4 cases. RESULT: Operations of the 18 cases went well without special complications. All of the flaps were alive with partial flap necrosis in 1 case, which was cured 1 month later by dressing changes. During the follow-up period ranged from 6 months to 2 years,no tumor recurred,the functional recovery and appearance were satisfactory. CONCLUSION Choosing operating methods in head and facial skin malignancies should consider patients' age, disease state and general condition. Reparing methods of Head and facial skin malignancies in the advanced ages should be selected according to their specific circumstances, especially the simple, convenient and rapid with less trauma way.
Face ; pathology ; Free Tissue Flaps ; Head ; pathology ; Humans ; Neoplasm Recurrence, Local ; Postoperative Period ; Reconstructive Surgical Procedures ; Skin ; pathology ; Skin Neoplasms ; surgery ; Skin Transplantation