Plastic surgical treatment and evaluation for cutaneous malignant melanoma of face

ZHANG Xianying; LIU Yi; XU Chengxin

Abstract：Objective To investigate the effects of surgical method for cutaneous malignant melanoma of face after surgical ablation. Methods From February 2007 to May 2014,9 patients with cutaneous malignant melanoma of face were treated in our de?partment. All the wounds were excised totally. Intraoperative frozen section was performed in order to monitor border line of tumor. The wounds were repaired by local flaps in 6 patients, full?thickness skin grafting in 2 patients, and free skin flap in 1 patient. Immunother?apy was selected as an accessory treatment after surgical ablation. Results Of 9 cases,the skin flap or skin grafts healed primarily. The appearance appeared very good in all cases after repair. Nine patients were followed up respectively from 3 months to 7 years post operation, and 2 patients died( among them, one patient died from other diseases) . No recurrence was found in other patients. Conclu?sion The effect of surgical treatment and immunotherapy for cutaneous malignant melanoma of face are sure. Free flap and local flap for repairing the facial skin defect can restore ideal appearance. It is an important method for radical dissection by intraoperative frozen section.