| Autor: |
Salgarelli, Attilio Carlo, Cangiano, Alessandro, Sartorelli, Francesco, Bellini, Pierantonio, Collini, Marco |
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| Zdroj: |
Journal of Cranio-Maxillofacial Surgery; Sep2010, Vol. 38 Issue 6, p460-464, 5p |
| Abstrakt: |
Summary: Background: This article describes how many of the defects caused by oncological surgery can be closed with an easily estended flap. Patient and Method: The Zitelli bilobed flap was used to treat 285 consecutive patients with basal cell carcinomas (BCCs) or squamous cell carcinomas (SCCs); 167 men (58.60%) and 118 women (41.40%) between 45 and 98 years of age. Histologically, 247 BCCs (86.6%) and 38 SCCs (13.4%) were documented. Regarding the site, 148 (51.9%) involved the nose, 51 (17.9%) the cheeks, 36 (12.6%) the preauricular region, 27 (9.5%) the perilabial region and chin and 23 (8.1%) the periorbital region. To measure long-term satisfaction patients responded to a telephone survey consisting of a single global question. Results: The size of the defect following tumour removal was between 1 and 4cm. Carcinomas up to 1cm were treated using a one step procedure with a cryostat test of the surgical margins; all others cases were treated using two step procedure after excision and histological in sano resection. Completely acceptable aesthetic and functional deficits were obtained in 275 (96.4%) patients over a 6–72-month follow-up. Ten (3.6%) patients suffered postoperative complications. Two cases of local infection; one case of completely flap necrosis and seven cases of partial revision due to flap necrosis occurred. The level of satisfaction with the surgical long-term result reported by the patients was high. Conclusion: In our experience the bilobed Zitelli flap for covering defects in the area of the face showed very few complications and good aesthetic results. [Copyright &y& Elsevier] |
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