PDF(Pubmed)
Abstract：
UNASSIGNED: The soft tissue of the head and neck region poses both esthetic and functional aspects and must be retorted simultaneously, as any defect will be easy recognizable and will affect the quality of patient\'s life. Reconstruction by local- regional flap still the most popular approach used and outcome also better than other options.
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.
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.
摘要：
■头部和颈部区域的软组织具有美学和功能两个方面，必须同时进行反驳，因为任何缺陷都很容易识别，并且会影响患者的生活质量。局部区域皮瓣重建仍然是最常用的方法，结果也优于其他选择。
■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。
■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。
