Evaluation of the application of conformal radial forearm flap in repair of irregular facial soft tissue defects

doi:10.19438/j.cjoms.2023.01.004

Abstract

Abstract: PURPOSE: To evaluate the effect of free transplantation of conformal radial forearm flap in the repair of irregular skin and soft tissue defects in the cheek. METHODS: Nine patients with irregular skin and soft tissue defects caused by facial trauma or tumor treated in Xuzhou Central Hospital from January 2020 to December 2021 were selected. Personalized matching free forearm flap were designed, the short-term effect of skin flap repair and patient satisfaction were observed. Self-rating depression scale (SDS) and self-rating anxiety scale (SAS) were used to evaluate the psychological state of patients before and after surgery. SPSS 20.0 software package was used for data analysis. RESULTS: All the flaps survived smoothly after operation. The SDS score and SAS score of patients 2 weeks after operation were lower than those before operation, and the difference was statistically significant(P<0.05). There was no significant difference in thickness and color between the flap and the surrounding skin, no traction and asymmetry, and the effect of appearance and functional repair was satisfactory. The satisfaction rate was 88.89%. CONCLUSIONS: The free radial forearm flap with conformal shape has a good effect in repairing irregular soft tissue defects in the cheek. The scores of anxiety and depression improved significantly in the short term after operation, and the patients have high postoperative satisfaction; therefore, it is worthy of clinical application.

Key words: Conformal, Personalization, Radial forearm flap, Tissue defect repair

CLC Number:

R782.2

GE Liang-yu, JI Li, WANG Hao-ran, LI Zhi-ping, GU Qian-ping, MENG Jian. Evaluation of the application of conformal radial forearm flap in repair of irregular facial soft tissue defects[J]. China Journal of Oral and Maxillofacial Surgery, 2023, 21(1): 24-28.

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