An optimal plastic surgical approach for repair of postoperative facial skin defects after excision of skin tumors
https://doi.org/10.52888/0514-2515-2025-367-4-20-27
Abstract
Objective: to develop an optimal facial skin incision design for excision of facial skin tumors, incorporating plastic surgery to prevent postoperative skin defects.
Material and methods: this study included 18 (100%) patients with skin tumors located in various facial regions. Of these patients, 11 (61,1%) had benign tumors, and 7 (38,8%) malignant facial tumors. The diagnosis was confirmed using cytology (Romanovsky/Giemsa method under a light microscopy OLYMPUSCX 21, with 10-40x magnification) and histology (hematoxylin and eosin staining using light microscopy, OLYMPUSCX 21, with 10-40x magnification).
Results: In all 18 (100%) patients the tumor size varied from 1 cm to 2–3 cm in length, and 0.5 cm to 1–2 cm in width. Tumor shape also varied, ranging from round to the most polygonal and atypical forms, which requires careful selection of the treatment method (tumor excision and restoration of the previous skin condition). Based on these considerations, the author developed an optimal incision shape around facial skin tumors, followed by tumor removal and subsequent plastic surgical repair to eliminate the postoperative defect.
Conclusion: this proposed plastic surgical method for eliminating postoperative facial skin defects after excision of fascial skin tumors demonstrated good outcomes in of 85-90% of cases, supporting its recommendation for broad clinical use across different facial locations and tumor shapes.
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Review
For citations:
Ikromi Z. An optimal plastic surgical approach for repair of postoperative facial skin defects after excision of skin tumors. Health care of Tajikistan. 2025;(4):20-27. (In Russ.) https://doi.org/10.52888/0514-2515-2025-367-4-20-27
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