Reconstructive techniques for radiation-induced hemifacial sequelae: A hemangioma case study.

Trần Thiết Sơn, Phan Tuấn Nghĩa, Phạm Thị Việt Dung, Tạ Thị Hồng Thuý

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Article in International journal of surgery case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 authors.

Trần Thiết SơnDepartment of Plastic and Reconstructive Surgery, Hanoi Medical University, No.1 Ton That Tung Street, Dong Da District, Hanoi, Viet Nam; Department of Plastic Reconstructive and Aesthetic Surgery, University of Medicine and Pharmacy, Hanoi National University, Viet Nam; Department of Plastic Reconstructive and Aesthetic Surgery, Bach Mai Hospital, Hanoi, Viet Nam. Electronic address: tranthietson@hmu.edu.vn.

Phan Tuấn NghĩaDepartment of Plastic and Reconstructive Surgery, Hanoi Medical University, No.1 Ton That Tung Street, Dong Da District, Hanoi, Viet Nam; Department of Plastic Reconstructive and Aesthetic Surgery, Bach Mai Hospital, Hanoi, Viet Nam. Electronic address: phantuannghia@hmu.edu.vn.

Phạm Thị Việt DungDepartment of Plastic and Reconstructive Surgery, Hanoi Medical University, No.1 Ton That Tung Street, Dong Da District, Hanoi, Viet Nam; Department of Plastic Reconstructive and Aesthetic Surgery, Bach Mai Hospital, Hanoi, Viet Nam. Electronic address: phamvietdung@hmu.edu.vn.

Tạ Thị Hồng ThuýDepartment of Plastic and Reconstructive Surgery, Hanoi Medical University, No.1 Ton That Tung Street, Dong Da District, Hanoi, Viet Nam; Department of Plastic Reconstructive and Aesthetic Surgery, Bach Mai Hospital, Hanoi, Viet Nam. Electronic address: tahongthuy@hmu.edu.vn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and importanceThe use of radiation therapy for infantile hemangiomas 30 years ago has led to severe consequences in adulthood. CASE PRESENTATION: This article shares the experience of using multiple reconstructive procedures to treat radiation-induced hemifacial sequelae for capillary malformations. Based on the damaged anatomical surgical units, appropriate reconstructive materials are used for the surgery. Thin antero-lateral thigh (ALT) flaps cover lesions on the forehead and cheeks, while a skin expander covers the temporal scalp lesion. Autologous grafting covers damage in both eyelids. CLINICAL DISCUSSION: Choosing a suitable reconstructive material will provide aesthetic outcomes such as facial symmetry, skin color compatibility, and textural similarity in the constructive areas for the patient. The patients were highly satisfied with the surgical results.

conclusionUsing appropriate surgical techniques and materials, along with meticulous attention to facial integrity, can achieve optimal aesthetic and functional outcomes in patients with severe facial disfigurement from radiation therapy. A thorough understanding of pathophysiology and anatomy, along with skillful execution, can result in a successful outcome and improved quality of life.

Indexed as

Face reconstructionFree ALT flapRadiation-induced damageSkin graftTissue expansion

Identifiers

PMID38880001

DOI10.1016/j.ijscr.2024.109906

PMCPMC11228589

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LicenceCC BY-NC-ND

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.