Role of Adjacent Flaps in Reconstruction of Skin and Soft Tissue Defect after Excision of Skin Tumours
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 7, Pages 2747-2752
AbstractBackground: Excision of skin tumours is one of the most common procedure in surgical department. And excision of skin tumours produce skin and soft tissue defect depending upon the size and extent of the skin tumour. Flaps are a better choice when tissue “bulk” is needed to fill contour defect and usually produce better results from a cosmetic stand point because they can provide a better match for skin tone and texture. The merits of the flaps are definitely higher compared to primary closure or skin grafting. Flap technique produce excellent results in facial reconstruction after skin cancer excision.
Material and methods: Patients admitted in IPD of department of surgery, ENT, plastic surgery in PMCH, Patna. were considered for the study considering the exclusion and inclusion criteria. A detailed workup was made according to proforma. Patients having skin and soft tissue defects following skin tumour excision were included. Details of cases were recorded including history and clinical examination. Routine and specific preoperative investigations were performed in all patients. Details of reconstructive surgery recorded. Rotational, transposition and advancement flaps were used to reconstruct the defect. A follow-up of patients was done to know the complications and outcome of adjacent flap.
Results: 07 patients with small to medium-sized defects (1-6cm) following excision of skin tumours were treated. The age of patients ranged from 30 to 75 years. Of these 07 patients, 04 were men (57.14%) and 03 were women (42.86%). 05 patients had basal cell carcinoma and 02 patients had squamous cell carcinoma. The tumours were located on the face in all the patients. All the flaps survived. We had no complications and the functional and aesthetic outcomes were good. No recurrence of malignant skin tumour was observed.
Conclusion: Patients presenting with skin defects following excision of skin tumours were treated with adjacent flap (local flap). The adjacent flap provided a better cosmetic appearance, less scarring, superior aesthetic results and functional normalcy. The complications associated with defect closure with local flap were nil in our study and the flap uptake was 100% in all the cases.
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