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001-es BibID:BIBFORM116384
035-os BibID:(Scopus)85176507568
Első szerző:Major Tamás (fül-orr-gégész)
Cím:Kettős bárdlebeny alkalmazása fej-nyaki bőrtumorok műtéti defektusainak rekonstrukciójára / Major Tamás, Pribelszki Erzsébet, Rácz Tamás, Nagy Kinga, Nagy Szilveszter
Dátum:2023
ISSN:0030-6002 1788-6120
Megjegyzések:INTRODUCTION: Skin cancers are the most common human neoplasms with head and neck localization in 90% of cases. Primary therapy is surgery, resulting in absolute skin defects in a number of cases. The reconstruction of these is performed with local skin flaps showing identical colour, texture and follicle density with the defect site. OBJECTIVE: In the present study, we report our preliminary experience with the head and neck application of double hatchet flap, a random pattern flap. METHOD: In our study, results of patients undergoing double hatchet flap reconstruction in the period between November 2021 and June 2023 were analyzed prospectively in terms of tumor site, defect size, method of anesthesia, and early and late complication rates. Patients followed up to a minimum of 6 months were asked to fill in a questionnaire concerning their postoperative status. RESULTS: A total of 13 patients with a mean age of 79.6 years underwent double hatchet flap reconstruction. The most frequent defect site was the scalp and the mean defect size was 40.5 ? 32.1 mm. Histopathological examination showed R0 resection of the tumor in each case. The closure of the skin defect was insufficient in 1 case. Partial flap necrosis and mimical paralysis were observed as early and late complications in 2 cases, respectively. The most bothersome sequel reported by patients was scarring. DISCUSSION: For selection of a local flap, the following factors need to be considered: localization and size of the defect, skin elasticity, amount of adjacent skin to mobilize, direction of relaxed skin tension lines and wrinkles, and aesthetic units. If the principles of the hatchet flap design (the ratio of flap length and width and pedicle width to the defect size) are adhered, the resulting technique is reliable with an acceptable complication rate. CONCLUSION: The double hatchet flap as a random pattern flap is a fast, reliable technique especially for the closure of 2-5 cm skin defects of the scalp and forehead.
Tárgyszavak:Orvostudományok Klinikai orvostudományok magyar nyelvű folyóiratközlemény hazai lapban
folyóiratcikk
fej-nyak
flap
head and neck
lebeny
nyelezett
pedicled
rosszindulatú bőrdaganat
skin cancer
Megjelenés:Orvosi Hetilap. - 164 : 44 (2023), p. 1755-1763. -
További szerzők:Pribelszki Erzsébet Rácz Tamás (1961-) (fül-orr-gégész) Nagy Kinga Nagy Szilveszter
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