Current Issues of Bio Economics and Digitalization in the Sustainable Development of Regions (Germany)

PLASTIC SURGERY OF POST-BURN SCARRING OF THE FACE AND NECK WITH A DISPLACED OR ROTATIONAL NECK FLAP

Madazimov M.M.

1-Andijan State Medical Institute

Rasulov J.D.

2-State Institution “Republican Specialized Scientific and Practical Medical Center for Surgery named after academician V.Vakhidov

Nizamkhodjaev S.Z.

2-State Institution “Republican Specialized Scientific and Practical Medical Center for Surgery named after academician V.Vakhidov

Keywords: HEMOBEN, scarring-adhesive process, plastic surgery, scar defect, aesthetic quality

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Abstract

The relevance of the problem. Plastic surgeons are constantly trying to find new ways to adequately compensate for a scar defect with tissues adjacent to the surgical intervention area. One of such promising donor zones is the anterolateral surface of the neck with the subcutaneous neck muscle (m. platysma) located here. The aim of the study is to improve the results of surgical rehabilitation of patients with post-burn scar deformity of the face and neck using displaced and rotational cervical flaps. Materials and methods. All patients were divided into two groups according to the applied plastic surgery methods. In the main group – 40 patients, the proposed method of eliminating post–burn scar deformity of the face and neck was performed; in the comparison group - 47 patients, plastic surgery with a mixed or rotary neck flap was performed according to traditional methods. Results. The overall aesthetic and functional effectiveness of plastic surgery with a displaced cervical flap of post-burn scarring of the face and a rotational flap in the neck using the improved method was characterized by an increase in excellent results of operations from 54.7% to 82.5% (with facial plastic surgery from 42.3% to 72.7%, with neck plastic surgery from 76.2% to 94.4%) and leveling the risk of unsatisfactory outcomes (with 8.5% in the comparison group) (χ2=8,882; df=3; p=0.031). Conclusion. The developed method of surgical treatment of post-burn scar deformity with a displaced neck flap in the face area and a rotational flap in the neck area is characterized by the simplicity of the operation, improves the aesthetic quality of the formation of the chin-neck bend during plastic surgery of the lower face area, and is generally characterized by a decrease in the tension of implanted tissues, improvement and acceleration of the processes of engraftment, reduction of the risk of local inflammatory and scarring-adhesive process.

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