M.E. Kaibarov ¹, N.V. Sloneva ¹, D.N. Akhmetov ¹

1. «Kazakh Institute of Oncology and Radiology» JSC, Almaty, the Republic of Kazakhstan

DOI: https://www.doi.org/10.52532/2663-4864-2022-4-66-46-52

UDC: 616-056.3:617-089.844

Year: 2022 issure: 66 number: 4 pages: 46-52

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ABSTRACT

Relevance: Basal cell skin cancer is the most common malignant skin tumor originating from epithelial cells. Reconstruction of al-tered tissues and organs is an urgent and significant medical and social problem. In particular, head and neck injuries are complicated for functional, cosmetic, and aesthetic reconstruction.
The study aimed to share the experience of performing reconstructive plastic surgery using the pectoralis major muscle at the Head and Neck Tumor Center of Kazakh Institute of Oncology and Radiology, JSC (KazIOR, Almaty, Kazakhstan).
Methods: The article describes the experience, operation steps, and results of postoperative wound healing after reconstructive sur-gery for skin cancer progression. A split musculocutaneous flap with the inclusion of the pectoralis major on a vascular pedicle was used. The surgery was performed at the Center for Head and Neck Tumors of KazIOR.
Results: Follow-up control 6 and 12 months after surgery showed that the musculocutaneous flap was intact. There was no evidence of recurrence or metastasis.
Conclusion: Musculocutaneous flaps involving the pectoralis major can successfully reconstruct combined extensive head and neck injuries.
Keywords: Basal cell carcinoma, pectoralis major, replacement flap, osteomyelitis, plastic, defect, fatty skin flap.

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