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CC BY 4.0 · Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2025; 40: s00451809395
DOI: 10.1055/s-0045-1809395
Artigo Original

Treatment Impact on Quality of Life: Facial Defect Reconstruction after Skin Tumor Resection

Article in several languages: português | English
Melissa Montano Rojas 
1   Serviços Integrados de Cirurgia Plástica, Hospital Ipiranga, São Paulo, SP, Brasil
,
Sidney Mamoru Keira 
1   Serviços Integrados de Cirurgia Plástica, Hospital Ipiranga, São Paulo, SP, Brasil
,
José Octavio Gonçalves de Freitas 
1   Serviços Integrados de Cirurgia Plástica, Hospital Ipiranga, São Paulo, SP, Brasil
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Financial Support

The authors declare that they did not receive financial support from agencies in the public, private or non-profit sectors to conduct the present study.

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Abstract

Facial reconstruction following cutaneous tumor removal requires meticulous evaluation, focusing on both aesthetics and functionality. The loss of facial features directly impacts patients' identity, emphasizing the significance of reconstructive surgeries. Discrepancies in aesthetic standards between surgeons and patients highlight the need to assess the psychosocial impact in the postoperative period.

The present study evaluated the quality of life (QoL) after facial reconstruction using the 36-item Short Form Health Survey (SF-36) in 50 patients, predominantly male. The SF-36 is widely recognized in the assessment of several physical and emotional dimensions and revealed mean scores over 50 across all domains, indicating satisfactory postoperative QoL.

No statistically significant differences were observed between sexes in the SF-36 domains. However, patients with type-2 diabetes mellitus presented impairments in emotional and mental aspects. The findings underscore the importance of addressing such aspects in the perioperative period and suggesting targeted interventions to enhance these patients' QoL.

The present study reinforces the significance of facial reconstruction in improving QoL. Additionally, it emphasizes the need for a holistic approach addressing the physical, emotional, and mental aspects throughout the surgical and recovery process.

Keywords

neoplasms - plastic surgery procedures - psychosocial impact - quality of life - surveys and questionnaires

Authors' Contributions

MMR: data collection; analysis, and/or interpretation of data; statistical analysis; conceptualization; study conception and design; project management; investigation; methodology; performance of surgeries and/or experiments; writing – original draft, writing – review & editing; supervision; validation; visualization. SMK: final manuscript approval; supervision. JOGdF: final manuscript approval.


Research Ethics Committee Protocol

CAAE: 68628923.0.0000.5488.




Publication History

Received: 18 March 2024

Accepted: 24 March 2025

Article published online:
20 June 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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Bibliographical Record
Melissa Montano Rojas, Sidney Mamoru Keira, José Octavio Gonçalves de Freitas. Impacto do tratamento na qualidade de vida: Reconstrução de defeitos na face após ressecção tumoral de pele. Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2025; 40: s00451809395.
DOI: 10.1055/s-0045-1809395
 

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