UNASSIGNED: To assess the outcome of loco-regional flaps in head and neck reconstruction in Sudanese patients.
UNASSIGNED: Retrospective cross-sectional, multicenteric study (Soba University Hospital, Khartoum North Teaching Hospital and an associated specialized hospital) - Khartoum, Sudan, 84 patients underwent head/neck reconstruction during the period from 2017 up to 2021 were included.
UNASSIGNED: Out of 84 patients, 47.6% were female and 52.4% were male. The etiology of head and neck defects in the majority (69%) was neoplastic, and in 11.9% it was trauma. According to site of defect, in 23.8% of patients was Cheek unit, 21.4% was nasal site, and 16.7% was neck site. Surgery in 85.7% of patients were primary, while in 14.3 was delayed. Fasciocutaneous flaps were used in 64.3%, followed by myocutaneous flap in 28.6%; functional outcome was excellent in 61.9%, adequate in 35.7%, and was inadequate in only 2.4%. The majority of patients 66.2% did not develop any complications.
UNASSIGNED: Loco-regional flaps are ideally useful in covering head and neck defects. It has an acceptable esthetic and functional outcome in the majority of cases. It can be considered as a reliable option for reconstruction especially in resource constrained centers.
■评估局部区域皮瓣在苏丹患者头颈部重建中的效果。
■回顾性横断面,多肠研究(索巴大学医院,喀土穆北教学医院和相关的专科医院)-喀土穆,苏丹,在2017年至2021年期间,84例患者接受了头颈部重建。
■在84名患者中,女性占47.6%,男性占52.4%。大多数(69%)头颈部缺损的病因是肿瘤,11.9%是外伤.根据缺陷部位,23.8%的患者是Cheek单位,21.4%为鼻部,16.7%为颈部部位。85.7%的患者手术是原发性的,而在14.3被推迟。使用筋膜皮瓣的比例为64.3%,其次是28.6%的肌皮瓣;61.9%的功能预后优异,在35.7%中足够,仅2.4%不足。66.2%的患者没有出现任何并发症。
■局部皮瓣在覆盖头部和颈部缺陷方面非常有用。在大多数情况下,它具有可接受的美学和功能结果。它可以被认为是重建的可靠选择,尤其是在资源有限的中心。