ASSESSMENT OF LOCAL FLAPS IN HEAD & NECK WOUND RECONSTRUCTION | ||
| ALEXMED ePosters | ||
| Volume 7, Issue 3, July 2025, Pages 67-68 | ||
| Document Type: Preliminary preprint short reports of original research | ||
| DOI: 10.21608/alexpo.2025.428488.2279 | ||
| Authors | ||
| Ahmed Salah EldinEldaly1; Ahmed Sobhy Youssef2; Shaimaa Ismail Abdelhamid Omar3; Mohanad Mohamed Naser Abdel Hamid* 4 | ||
| 1Department of Otorhinolaryngology-H&N Surgery, Faculty of Medicine, Alexandria University | ||
| 2Department of Otorhinolaryngology, Faculty of Medicine, Alexandria University | ||
| 3Department of Dermatology, Venereology and Andrology, Faculty of Medicine, Alexandria University | ||
| 4Department of Otorhinolaryngology-H&N Surgery, Faculty of Medicine, Alexandria University | ||
| Abstract | ||
| Cutaneous defects of the head and neck region arise following tumor excision, trauma, or infection. These defects are particularly challenging to reconstruct because of the complex anatomy and the dual need for functional preservation and aesthetic restoration. Over the years, many reconstructive options have been developed, but local flaps-such as rhomboid, advancement and bilobed flaps, remain a cornerstone for reconstructing small to medium-sized defects in the head and neck region because of their reliable vascularity, tissue similarity, and potential for single-stage repair. This study presents the outcomes of 17 patients with head and neck defects treated with various local flap techniques at Alexandria Main University Hospital, focusing on cosmetic results, complications, and functional recovery. AIM: To assess the outcome of different local flap techniques in reconstruction of head and neck defects with regard to cosmetic results, complications, and time to return to normal life. PATIENTS AND METHODS: This descriptive case series included 17 patients with head and neck cutaneous defects treated at Alexandria Main University Hospital between September 2023 and September 2024. Patients’ age ranged from 3 to 85 years (mean 41.8 ± 24.8). The pathologies included basal cell carcinoma, squamous cell carcinoma, fibroinflammatory lesions, cysts, granulomas, and dermatofibroma. Reconstruction was performed using a variety of local flaps such as rhomboid, advancement, bilobed, rotational, interpolated, and staged pericranial with free flap. Data collected included operative time, hospital stay, cosmetic outcome (graded on a 4-point scale), time to return to daily activity, and postoperative complications. | ||
| Keywords | ||
| LOCAL FLAPS; HEAD & NECK WOUND RECONSTRUCTION; descriptive case series | ||
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