Overview of Local Flaps of the Face for Reconstruction of Cutaneous Malignancies: Single Institutional Experience of Seventy Cases.
BACKGROUND
The most common malignant tumours of the face are basal cell carcinoma, squamous cell carcinoma and melanoma. While the results of skin graft are less than satisfactory for large areas to cover, distant flaps are bulky with a poor colour match. Local fasciocutaneous flaps provide reasonable option for reconstruction of facial defects with good colour and texture match and good success rate.


OBJECTIVE
This study aimed to analyse the various modalities of reconstruction after resection of facial malignancies and their advantages and disadvantages.


METHODS
This was a retrospective study.


METHODS
Of 70 patients, 34 were managed with V-Y advancement flap, 24 with nasolabial flap, 8 with median forehead flap and 4 with standard forehead flap cover. The duration of follow-up ranged from 6 months to 2 years.


METHODS
Nil.


RESULTS
Of 34 V-Y advancement flaps, 2 showed suture dehiscence at the apex of triangle which was allowed to heal secondarily with regular dressings. All the 24 nasolabial flaps were healthy without any complication. All patients had satisfactory functional and cosmetic outcomes.


CONCLUSIONS
In our experience, local flaps give the best results and are the first choice for reconstruction of the face. Most defects can be best closed by nasolabial, V-Y advancement and forehead flap. Outstanding functional and cosmetic results can be achieved. Proper execution requires considerable technical skill and experience.
Department of Plastic Surgery, SMS Medical College, Jaipur, Rajasthan, India.
Jagdeep K
JK
Rao
Department of Plastic Surgery, SMS Medical College, Jaipur, Rajasthan, India.
Kaustubh Sharad
KS
Shende
Cutaneous malignancies; V-Y advancement; forehead flap; local flaps of the face; nasolabial flap