Evolución del colgajo cérvico-facial de mustardé en pacientes con exéresis de cáncer de piel en región malar y párpado inferior en Solca año 2014 - 2015.

Abstract

Background:Because of its exposure to the sun, the skin is predisposed to develop cancer; when it involves the cheeks and lower eyelids they are a challenge for the plastic surgeon who performs the excision, especially the reconstruction of them. The Mustardé Cervical-Facial Flap is one of the most used technique to repair these anatomical subunits due to its versatility to approach tissues towards the midline and thus cover the defects. Objective:To determine the post-surgical complications in patients who underwent the Mustardé flap for reconstruction of the malar region and / or lower eyelid. Materials and Methods:In this cross-sectional observational retrospective study, we included all patients who underwent reconstruction with a Mustardé flap in the lower eyelid and / or cheek at the Hospital de Sociedad de Lucha Contra el Cancer (SOLCA) in the city of Guayaquil in 2014 and 2015, determined which was the incidence of complications and if these were related to age, defect size, sex and type of carcinogenic lesion. We performed the analysis and crossover of variables using the p-value test considering significant statistical values at or less than 0.05. Results:42 patients met the inclusion criteria, the incidence of complications in our cohort was 33.33%, ectropion being the most frequent with 16.67%. Basal cell carcinoma was the most common inour population with 78.6%, the lesions affected more the lower eyelid 54.76%, but the malar region presented more complications after reconstruction (38.46%). We found no relationship with statistical significance between complications and age (p-value = 0.952), sex (p-value = 0.749), size of the lesion(p-value = 0.761). Conclusion: The Mustardé flap remains a reliable and versatile method to cover lower eyelid and cheek defects with satisfactory functional and aesthetic results with few manageable complications.