[Curative effect analysis of 41 cases of local skin flap transfer in repairing tissue defect after resection of nasal and facial masses].

Objective

To explore the the local tissue defects caused by the resection of nasal and facial masses, and to evaluate the effectiveness and prognosis of using different local skin flap transfers for repairing based on different defect conditions.

Methods

A total of 41 patients who underwent surgical treatment in our department from April 2020 to May 2024 were collected as the research subjects. Different local skin flap transfer repair methods were used according to the location, properties, and scope of the lesions. Postoperative follow-up（12-60 months） was conducted to observe the repair effect and recurrence.

Results

As a result, 41 patients（including 9 cases of squamous cell carcinoma, 20 cases of basal cell carcinoma, and 12 cases of various benign lesions） had local skin flaps that survived and achieved Grade A healing. None of the patients received adjuvant radiotherapy or other adjuvant treatments after surgery. Among them, 2 cases（5%） had recurrence and underwent secondary extensive resection surgery without using primary repair. Local tissue defects were left vacant, and local radiation therapy was supplemented. It is planned to follow up for more than 1 year without local recurrence before considering local repair and reconstruction. 95% of postoperative patients expressed satisfaction with the nasal appearance, with no obvious scars, and some patients had local skin color differences.

Conclusion

The use of local skin flap transfer for repairing and reconstructing tissue defects after resection of external nasal masses has good results, fewer postoperative complications, and patients are satisfied with the recovery of nasal appearance and function. It also has the advantages of convenient local skin flap removal and minimal trauma. In summary, local skin flap transfer has high clinical application value in the treatment of external nasal masses and is worthy of clinical promotion.