Đánh giá kết quả bước đầu sử dụng vạt da có cuống nuôi dưới da trong tạo hình tổn khuyết vừa và nhỏ vùng cổ mặt tại Bệnh viện Quân y 175

Abstract

ABSTRACT
Background: Skin defects in the neck and face are caused by many factors, with different sizes and depths, affecting the function and aesthetics of the patient. Using subcutaneous pedicle flaps has proven effective and reliable for small and medium defects in the neck and face. Therefore, this study aims to describe the clinical characteristics of small and medium defects and initially evaluate the results of using subtacuneous pedicle flaps.
Subjects and methods: The study was conducted on 33 patients with small and medium defects in the neck and face due to different causes who underwent plastic surgery with subcutaneous pedicle flaps at Military Hospital 175 from January 2023 to February 2025.
Results: The average age was 56.48 ± 23.13, of which 54.5% were male and 45.5% were female. The cause of the defect was mainly after tumor removal (78.8%), due to traffic accidents (21.2%). The average defect size was 1.4 cm x 1.7 cm, in the vast majority of positions of the nose (18.2%), cheek (21.2%), and lower eyelid (15.2%). The flap used had an average size of 1.92 x 2.82 cm. After surgery, 100% of the flaps survived completely, resulting in beautiful scars, similar in color and thickness to the flap, good restoration of function, and no contraction.
Conclusions: The subcutaneous pedicle flap is flexible and highly reliable, suitable for small and medium defects with a diameter < 3 cm. The flap provides good functional and aesthetic recovery, especially in areas such as the corners of the eyes, the base of the nose, and the corners of the mouth.