Analysis of the effect of different skin flaps in repairing head and face skin defects

Objective To compare the effects of different skin flaps in repairing head and face skin defects. Methods A total of 60 patients with facial skin defects were selected, and all underwent flap repairing. They were divided into three groups according to different operation programs. Group A(n=14)conducted double side advancing flap repair, group B(n=21)used A-T flap repair, and group C(n=25)used rhomboid skin flap to repair defects. Defect areas and complication rates were compared, and scar conditions of three groups were compared after 1 year follow up. Results The defect sites of the three groups showed significant differences(P<0.05). All flaps survived, and there was no necrosis of flaps. The complication rates of group A, group B and group C were 7.14%, 9.52% and 8.00%, respectively, but there were no significant differences among the three groups(P>0.05). There were no significant differences in scar color, elasticity degree score and scar width among the three groups(P>0.05). The flatness score of group C was significantly lower than that of group A and group B(P<0.05). Conclusion Bilateral advancing skin flap, A-T skin flap and rhomboid skin flap repair can effectively repair skin defects of head and face, and rhomboid skin flap has smoother scar.