Abstract:
Defects resulting from surgical procedure may be challenging to reconstruct depending on the size and location. In case of large defects, primary closure is often not possible and thus requires skin flap or graft. In such cases, skin flap is advantageous as it produces a similar color and texture with the surrounding tissue. Skin flap techniques such as advancement flap, rotation flap dan transposition flap are useful in closing small defects. In moderate to large-sized defects, especially in areas with high tension, a combination of more than one type of flap might be necessary. This report describes two cases of large defects on the temple and cheek following basal cell carcinoma excisional surgery which were successfully closed using a combination of rotation and advancement flaps. Both patients showed excellent functional and cosmetic outcome.
摘要:
取决于尺寸和位置,由外科手术程序产生的缺陷对于重建可能是具有挑战性的。在大缺陷的情况下,初次闭合通常是不可能的,因此需要皮瓣或移植。在这种情况下,皮瓣是有利的,因为它产生与周围组织相似的颜色和质地。皮瓣技术,如推进皮瓣,旋转皮瓣dan转位皮瓣在闭合小缺损中是有用的。在中等到大尺寸的缺陷中,特别是在高度紧张的地区,一种以上类型的皮瓣的组合可能是必要的。该报告描述了基底细胞癌切除手术后太阳穴和脸颊上的两例大缺损,这些缺损是使用旋转和前进皮瓣的组合成功闭合的。两名患者均表现出出色的功能和美容效果。