Volume 21 Issue 4
Apr.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(4): 576-580
SONG Peijun, LI Xuwen, LI Wei, WANG Huaigu, HUO Jiwu, ZHANG Shuo, XU Jing. Comparison of the effect of facial artery perforator fasciocutaneous pedicle flap and arbitrary flap in repairing the defect of mid-facial skin tumor[J]. Chinese Journal of General Practice, 2023, 21(4): 576-580. doi: 10.16766/j.cnki.issn.1674-4152.002934
Citation: SONG Peijun, LI Xuwen, LI Wei, WANG Huaigu, HUO Jiwu, ZHANG Shuo, XU Jing. Comparison of the effect of facial artery perforator fasciocutaneous pedicle flap and arbitrary flap in repairing the defect of mid-facial skin tumor[J]. Chinese Journal of General Practice, 2023, 21(4): 576-580. doi: 10.16766/j.cnki.issn.1674-4152.002934
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Comparison of the effect of facial artery perforator fasciocutaneous pedicle flap and arbitrary flap in repairing the defect of mid-facial skin tumor

doi: 10.16766/j.cnki.issn.1674-4152.002934

  • Department of Plastic and Burn, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China

Funds:

 KJ2019A0374

 GXXT-2020-021

  • Received Date: 2022-07-30
    Available Online: 2023-05-31
    Abstract
  •   Objective  To investigate the clinical application value of using facial artery perforator fasciocutaneous pedicle flap to repair defects after resection of mid-facial skin tumors.  Methods  A total of 40 patients with mid-facial skin tumors treated in the Department of Plastic Burns of the First Affiliated Hospital of Bengbu Medical College from January 2019 to December 2021 were divided into observation group and control group according to the size and location of the wounds left after intraoperative tumor resection, with 20 cases in each group.The observation group underwent facial artery perforator fasciocutaneous pedicle flap repair, while the control group underwent traditional flap repair.The color score, aesthetics score, function score, post-operative scar width, scar elasticity, and skin flap after flap repair, scar color, and patient satisfaction at 6 months post-operation were compared between the two groups.  Results  The color evaluation (7.54±0.17), aesthetic evaluation (7.85±1.17) and functional evaluation (8.20±0.89) of the flap in the observation group were higher than those in the control group[(4.85±1.73), (5.23±1.50) and (6.00±0.93)]6 months after surgery (P < 0.05).The scar width (0.40±0.13), scar elasticity (0.33±0.12), scar flatness (0.24±0.09) and scar color score (0.20±0.06) in the observation group were lower than those in the control group[(0.58±0.18), (0.57±0.13), (0.38±0.16) and (0.36±0.08)].The overall satisfaction in the observation group (95%) was higher than that in the control group (65%), with statistically significant (all P < 0.05).  Conclusion  Compared with traditional arbitrary flap repair, facial artery perforator fasciocutaneous pedicle flap repair can achieve greater satisfaction in postoperative appearance and function, and has high clinical application value.

     

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