RECONSTRUCCIÓN CON COLGAJOS EN MEJILLA Y LABIO EN PACIENTES ONCOLÓGICOS DEL HOSPITAL SOLCA-MATRIZ

Abstract

Objectives: To describe the surgical techniques most commonly used in reconstruction with local flaps on the cheek or lip of oncology patients at Juan Tanca Marengo Oncological Hospital SOLCA- Guayaquil Matrix from January 2013 to May 2016. Recognize common epidemiological factors in patients with carcinoma of cheek or lip. To evaluate the degree of functional and aesthetic satisfaction of the patients reconstructed in cheek and lip with local flaps. Methods: Non-experimental design, transversal, descriptive type, quantitative method. In the Juan Tanca Marengo Cancer Hospital SOLCA- Matriz Guayaquil, between January 2013 and May 2016, of patients presenting with malignant tumors of the lip and cheeks. A sample of 59 patients was constructed. Results: The slightly more affected male sex was 51%; The most frequent ages of presentation were between the 81 to 90 years (27.1%) followed by the 70 to 80 years (25.4%), totaling 52.5%. Patients with 90% mestizo skin. Basal cell carcinoma had the highest histological incidence with 61%; Of the cheek malar region was the most vulnerable sector with 68%. The postoperative complication reached 7% of which the operative site dehiscence is the frequent one. The most used surgical technique was the Mustardé cervicofacial flap with 21.3% in cheek and in the lips it was the Karapandzic flap with 33.3%. The degree of satisfaction of his physical appearance was of 66.7% of very satisfied and satisfied in cheek. 100% recovered normal cheek function. 16.7% reported sequelae such as ectropion on cheeks. On lips the satisfaction rated as very satisfactory was 61%, and the functional alterations 39%. Conclusions: The results obtained in the integral reconstruction of cheek were satisfactory in the majority of cases in their appearance aesthetically and functionally. As for the lips presented an improvement of the physical appearance notable referring certain IX functional alterations for future corrections. Recommendation: Develop a protocol for the detection, diagnosis and treatment of skin cancer of the cheek and lip anatomical units.