Đánh giá kết quả sử dụng các vạt da trán có cuống mạch nuôi trong điều trị tổn khuyết phần mềm mũi

Abstract

Objective: To estimate the results of using forehead skin flaps with vascular pedicle for treatment of the nasal soft tissue defect. Subject and method: Retrospective and prospective studies on 48 patients suffered from nasal soft-tissue defects due to different causes who underwent plastic surgery using forehead skin flap at 103 Military Hospital and at 108 Military Central Hospital from 2014 to 2020. Result: The most frequent injured location was the ala of nose, accounting for 38.8% and the least common was the columella that found in 13.4% of patients. Cutaneous and subcutaneous defects accounted for 4.5% of all encounters; through and through defects were accounted for 52.3% of enrollment. 89.6% of patients suffered with large trauma area (≥ 2cm²). Post-surgery, the rate of completely survived skin flaps was 89.6%, adequate coverage in units accounted for 64.6%. The rate of wound healing without further surgery was 85.4% and 83.3% of patient recover without any complication. Secondary deformities that heavily affect function accounted for 6.3%. And after the suture removal, most of patients in the study group had good results, accounting for 66.7%; fair results accounted for 22.9%, and at poor level accounted for 6.3%. Conclusion: Forehead skin flap with vascular pedicle is a suitable and highly effective material for nasal defect.