ĐÁNH GIÁ KẾT QUẢ SỬ DỤNG VẠT ĐẨY VÀ VẠT CHUYỂN TRONG ĐIỀU TRỊ KHUYẾT HỔNG VÙNG MẶT TẠI BỆNH VIỆN TRƯỜNG ĐẠI HỌC Y DƯỢC CẦN THƠ NĂM 2024-2025

Abstract

Background: Facial defects represent a challenge in reconstructive surgery because both functional restoration and aesthetic outcomes must be achieved simultaneously. Advancement and transposition flaps are among the most commonly used reconstructive techniques. Objectives: To evaluate the outcomes of advancement and transposition flaps in the treatment of facial defects in patients treated at Can Tho University of Medicine and Pharmacy Hospital. Materials and methods: Case-series study was conducted on 45 patients who underwent local flap reconstruction at Can Tho University of Medicine and Pharmacy Hospital. Results: The mean age of the patients was 56.42 ± 15.21 years, and females accounted for 51.11% of the study population. Defects measuring 1-3 cm were the most common (44.44%). The cheek, zygomatic, and infraorbital regions were the most frequently involved sites, accounting for 26.67%, 22.22%, and 20.00%, respectively. The rates of good flap viability and coverage function were 88.89% at 1 week and 100% at 1 month postoperatively. All flaps (100%) demonstrated color matching with the surrounding skin. Postoperative complications mainly included edema (44.44%), bleeding/hematoma (24.44%), and infection (4.44%). The proportion of favorable scars increased from 42.22% at 1 month to 77.78% at 3 months. Patient satisfaction also improved over time, with the proportion of patients reporting being very satisfied increasing from 40.00% at 1 month to 77.78% at 3 months. Conclusion: Advancement and transposition flaps are effective and safe methods for the reconstruction of facial soft tissue defects, providing high flap survival rates, satisfactory coverage function, and favorable aesthetic outcomes. Scar quality and patient satisfaction improved significantly during postoperative follow-up.