Reconstructive plastic surgery after neck wounds

Authors

  • M. Yu. Sizy V. Zaitsev Institute of General Emergency Surgery
  • V. V. Makarov V. Zaitsev Institute of General Emergency Surgery
  • O. M. Shevchenko V. Zaitsev Institute of General Emergency Surgery
  • V. M. Lykhman V. Zaitsev Institute of General Emergency Surgery

DOI:

https://doi.org/10.11603/2414-4533.2019.3.10548

Keywords:

neck injuries, reconstructive plastic surgery, microsurgical interventions

Abstract

The aim of the work: to increase the effectiveness of surgical treatment of injured after neck injuries through the use of reconstructive plastic surgery.

Materials and Methods. The results of reconstructive plastic surgery in patients after neck injuries were analyzed. Intervention was performed in both men and women in the same age group from 41 years to 50 years. Only in 82 patients local tissue repair and microsurgical tissue autotransplantation were performed.

Results and Discussion. Each of the methods has an independent value: local tissue repair in its various versions eliminates small defects in area with minimal loss in the donor area, and in turn, the use of microsurgical tissue autotransplantation technique allows achieving good anatomical and functional results with large and deep soft neck defects. Assessing the results of surgical treatment of patients, it was noted that in most cases a good final result (86.6 %) was achieved – in 71 patients among 82. However, 11 patients received an unsatisfactory result, which amounted to 13.4 % of all patients who various methods of replacing soft tissue defects of the neck after wounds were applied.

References

Avetіkov, D.S., & Steblovskii, D.V. (2013). Klіnіko-morfofunktsіonalnі osoblyvostі pіdiomu ta mobіlіzatsіi shkіrno-zhyrovykh klaptіv soskopodіbnoi dіlianky [Clinical-morphofunctional features of lifting and mobilization of the skin-fat flaps of the mastoid area]. Aktualnі pytannia suchasnoi medytsyny – Topical Issues of Modern Medicine, 13, 2 (42), 180-182 [in Ukrainian].

Vyrupayev, S.V. (2005). Pervichnaya rekonstruktsiya defektov golovy i shei svobodnymi i arterializovannymi loskutami [Primary reconstruction of head and neck defects with free and arterialized flaps]. Annaly plast., rekonstr. i estetich. khirurgii – Annals of Plast., Reconstruction and Aesthetic Surgery, 2, 75-83 [in Russian].

Galich, S.P., Dryuk, N.F., & Povstyanoy, N.E. (2002). Zameshcheniye slozhnymi kompleksami tkaney posleozhogovykh i posttravmaticheskikh defektov golovy i shei [Substitution with complex tissue complexes for post-burn and post-traumatic defects of the head and neck]. Annaly plast., rekonstr. i estetich. khirurgii – Annals of Plast., Reconstruction and Aesthetic Surgery, 2, 37-39 [in Russian].

Chernomashentsev, A.N., Burdey, G.D., Gorelik, M.M., Koloskov, V.G., Nikolenko, B.N., Ovchinnikova, N.M., & Ostrovskiy, N.V. (2004). Deformativno-prochnostnye svoystva myagkikh biologicheskikh tkaney v aspekte plasticheskoy khirurgii [The deformation-strength properties of soft biological tissues in the aspect of plastic surgery]. Biomekhanika krovoobrashcheniya, dykhaniya i biologicheskikh tkaney – Biomechanics of Blood Circulation, Respiration and Biological Tissues, 5, 272-277 [in Russian].

Zhuravlev, P.A., & Postnikov, O.V. (2009). Primenenie rotatsionnogo kozhno-fastsialnogo bilobarnogo loskuta dlya zakrytiya defektov kozhi i myagkikh tkaney litsa i golovy [Application of a rotational skin-fascial bilobar flap to close defects of the skin and soft tissues of the face and head]. Annaly plast., rekonstr. i estetich. khirurgii – Annals of Plast., Reconstruction and Aesthetic Surgery, 4, 90-96 [in Russian].

Nerobeev, A.I., Sokolov, V.N., & Avetikov, D.S. (2003). Morfo-klinicheskaya kharakteristika angiosomnykh loskutov iz volosistoy chasti golovy dlya zameshcheniya defektov na golove i shee [Morphological and clinical characteristics of angiosomal flaps from the scalp to replace defects on the head and neck]. Ukrainskyi stomatolohіchnyi almanakh – Ukrainian Dental Almanac, 2, 24-26 [in Russian].

Sokolov, V.M., Avetіkov, D.S., & Sokolov, R.V. (2004). Zamіshchennia obshyrnykh defektіv holovy kombіnovanymy autotransplantatamy іz vkliuchenniam velykoho hrudnoho і naishyrshoho miazu spyny [Substitution of extensive head defects with combined autografts with the inclusion of the large thoracic and widest spinal muscles]. Problemy ekolohіi ta medytsyny – Problems of Ecology and Medicine, 8, 3, 4, 10-12 [in Ukrainian].

Trofimov, E.I., & Bzhasso, D.M. (2008). Plasticheskoe zakrytie defektov myagkikh tkaney golovy i shei. Mikrokhirurgiya i ekspandernaya dermotenziya [Plastic closure of defects in the soft tissues of the head and neck. Microsurgery and expander dermatotension]. Annaly plast., rekonstr. i estetich. khirurgii – Annals of Plast., Reconstruction and Aesthetic Surgery, 1, 32-35 [in Russian].

Hata, K., Kagami, S., & Matsuyama, M. (1995). The characteristics of cultured mucosae cell sheet as a material for grafting, comparison with cultured epidermal cell sheet. Ann. Plast. Surg., 34, 5, 530-538. DOI: https://doi.org/10.1097/00000637-199505000-00013

Spyropoulou, G.A., Lin, P.Y., Chien, C.Y., Kuo, Y.R., & Jeng, S.F. (2011). Reconstruction of the hypopharynx with the anterolateral thigh flap: Defect classification, method, tips and outcomes. Plastic & Reconstruct. Surg., 127 (1), 161-172. DOI: https://doi.org/10.1097/PRS.0b013e3181f95997

Published

2019-11-05

How to Cite

Sizy, M. Y., Makarov, V. V., Shevchenko, O. M., & Lykhman, V. M. (2019). Reconstructive plastic surgery after neck wounds. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (3), 62–67. https://doi.org/10.11603/2414-4533.2019.3.10548

Issue

Section

EXPERIENCE OF WORK