[To reconstruct facial defects after removing skin lesions by using local flap]

Area of Science:

• Plastic Surgery
• Dermatology
• Oncology

Background:

• Facial skin defects present reconstructive challenges.
• Local flaps are a versatile option for repairing these defects.

Purpose of the Study:

• To evaluate the methods and efficacy of local flap reconstruction for facial skin defects post-lesion removal.
• To assess outcomes in patients with both benign and malignant facial lesions.

Main Methods:

• Surgical resection of facial lesions with pathologically confirmed negative margins.
• Repair of resulting defects using various local flaps, including VY propulsion, nasolabial, and A/O-T shaped flaps.
• Follow-up assessment of functional and aesthetic outcomes, and complication rates.

Main Results:

• Most patients achieved satisfactory healing with local flaps.
• Two cases of malignant tumors recurred locally.
• Minor complications included partial flap necrosis (5 cases) and wound dehiscence (1 case).

Conclusions:

• Local flaps are a viable and effective method for facial skin defect reconstruction.
• Radical excision of the primary lesion is paramount before reconstruction.
• Careful flap design and selection are key to achieving favorable results.