Arch Craniofac Surg.  2017 Dec;18(4):255-260. 10.7181/acfs.2017.18.4.255.

A Comparison of the Local Flap and Skin Graft by Location of Face in Reconstruction after Resection of Facial Skin Cancer

• Lee KS
• Kim JO
• Kim NG
• Lee YJ
• Park YJ
• Kim JS

• KMID: 2405031
• DOI: http://doi.org/10.7181/acfs.2017.18.4.255

Abstract

BACKGROUND
Surgery for reconstruction of defects after surgery should be performed selectively and the many points must be considered. The authors conducted this study to compare the local flap and skin graft by facial location in the reconstruction after resection of facial skin cancer.
METHODS
The authors performed the study in patients that had received treatment in Department of Plastic Surgery, Gyeongsang National University. The cases were analyzed according to the reconstruction methods for the defects after surgery, sex, age, tumor site, and tumor size. Additionally, the authors compared differences of aesthetic satisfaction (out of 5 points) of patients in the local flap and skin graft by facial location after resection of facial skin cancer by dividing the face into eight areas.
RESULTS
A total of 153 cases were confirmed. The most common facial skin cancer was basal cell carcinoma (56.8%, 87 cases), followed by squamous cell carcinoma (37.2%, 57 cases) and bowen's disease (5.8%, 9 cases). The most common reconstruction method was local flap 119 cases (77.7%), followed by skin graft 34 cases (22.3%). 86 patients answered the questionnaire and mean satisfaction of the local flap and skin graft were 4.3 and 3.5 (p=0.04), respectively, indicating that satisfaction of local flap was significantly high.
CONCLUSION
When comparing satisfaction of patients according to results, local flap shows excellent effects in functional and cosmetic aspects would be able to provide excellent results rather than using a skin graft with poor touch and tone compared to the surrounding normal skin.

Keyword

Skin cancer; Sugical flaps; Skin grafting; Treatment outcome

MeSH Terms

Bowen's Disease
Carcinoma, Basal Cell
Carcinoma, Squamous Cell
Humans
Methods
Skin Neoplasms*
Skin Transplantation
Skin*
Surgery, Plastic
Transplants*
Treatment Outcome