Faenza Mario, Molle Marcello, Mazzarella Vincenzo, Antonetti Andrea Maria, Filosa Francesco Giuseppe, Pelella Tommaso, Nicoletti Giovanni Francesco
Plastic Surgery Unit, Multidisciplinary Department of Medical-Surgical and Dental Specialties, Università degli Studi della Campania "Luigi Vanvitelli," Piazza Luigi Miraglia, 80138 Naples, Italy.
JPRAS Open. 2024 Aug 23;42:97-112. doi: 10.1016/j.jpra.2024.08.004. eCollection 2024 Dec.
Non-melanoma skin cancers represent more than 90 % of malignant skin tumors, with an incidence of 19.46 cases/100,000 people per year in Italy; however, their real incidence is underestimated. Although there are several therapeutic strategies, the only one that can guarantee a 95 % healing rate and the possibility of performing histological examination is surgical excision with subsequent reconstruction of the injured area with direct closure and with skin graft, local, regional, or free flaps in cases involving greater damage.
Fifty-four patients underwent post-oncological head/face reconstructive surgery with skin graft or local flap between November 2021 and February 2023. The aesthetic outcomes (and the subsequent impact on the patients' lives) were assessed using the Vancouver Scar Scale, Manchester Scar Scale, and Visual Analog Scale with scars ranked by three independent surgeon observers.
Patients who received reconstruction with local flaps demonstrated improved aesthetic and functional satisfaction, as well as improved aesthetic evaluation by independent surgeons.
The use of local flaps permits a more pleasing reconstruction (functionally and aesthetically) of post-oncological tissue defects of the face.
非黑色素瘤皮肤癌占恶性皮肤肿瘤的90%以上，在意大利每年的发病率为每10万人中有19.46例；然而，其实际发病率被低估了。尽管有多种治疗策略，但唯一能保证95%治愈率并能进行组织学检查的方法是手术切除，随后根据损伤程度，对受伤区域进行直接缝合、植皮、局部、区域或游离皮瓣重建。
2021年11月至2023年2月期间，54例患者接受了采用植皮或局部皮瓣的肿瘤切除术后头面部重建手术。使用温哥华瘢痕量表、曼彻斯特瘢痕量表和视觉模拟量表评估美学效果（以及对患者生活的后续影响），由三名独立的外科医生观察者对瘢痕进行评分。
接受局部皮瓣重建的患者在美学和功能满意度方面有所提高，独立外科医生的美学评价也有所改善。
使用局部皮瓣可以对面部肿瘤切除术后的组织缺损进行更美观（功能和美学方面）的重建。
