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FACTORS OF FACIAL DEFECTS RECONSTRUCTIVE SURGERY EFFICIENCY Valikhnovskyi R. Surgeon, MD, PhD, Clinic 311 LLC, Kyiv, Ukraine ORCID: 0000-0002-6037-3752 DOI: 10.24412/3453-9875-2021-56-2-14-42 Abstract The problem of reconstructive surgery for facial defects, its social and economic aspects remain on the agenda in Ukraine and around the world. The study of the factors of effectiveness of reconstructive surgery of facial defects is an urgent problem of plastic surgery, and the implementation of appropriate systematic review allows to determine the status and future prospects and priorities of research in this area. Identification of the main clusters of factors of efficiency of reconstructive surgery of facial defects by conducting a systematic review of the scientific literature on this issue. The systematic review includes the following types of studies: systematic reviews, randomized clinical trials, cohort studies, case-control studies, sectional studies, case studies, case series. Publications that contain data on reconstructive plastic surgery of facial defects. The search was conducted in the following databases: PubMed, Cochrane Library, Scopus, Web of Science. Excel and R software were used for analysis. According to the inclusion criteria, publications devoted to certain aspects of determining the factors of effectiveness of reconstructive surgery for facial defects were selected. There is a significant predominance (p <0.01) of type studies, in descending order: description of individual cases, series of cases, sectional, "case-control". Factors for the effectiveness of reconstructive surgery of facial defects relate to medical and biological (congenital, acquired) aspects of each individual, environmental factors of natural, man-made nature, organizational and administrative issues, qualifications of medical professionals and technological equipment, as well as psychological status and psychological microclimate etc. The prospect of further research is to conduct an appropriate phase of meta-analysis of data selected at the current stage. Keywords: reconstructive surgery, plastic surgery, face defects, efficacy, factors. Background. The problem of reconstructive surgery of facial defects, its social and economic aspects remain on the agenda in Ukraine and around the world [1]. Appearance, especially - the face itself, has a significant impact on everyday life, its quality, professional career of people [2]. For this reason, any change in body image perception can lead to social losses, such as loss of job, status and role, as well as loss of beauty and attractiveness [3, 4]. The perception of the body image is a reflection in the mind of the body image and all the feelings associated with the body. When a person experiences any deformation of appearance or any dysfunction, he experiences an internal conflict between the perceived image of the body at that moment and the expected pattern. Cognitive processes, effectiveness
and response to the concept of self-control change, and self-confidence is lost along with changes in body image perception. Thus, it is important to improve the perception of body image and its deformation and dysfunction in the formation of image perception and self-esteem. Surgical reconstructive treatment of facial defects increases self-confidence and affects the quality of life [5–7]. The face has a symbolic meaning in social and personal relations and is a kind of "window" of the individual into the world. As a result, any dysfunction or deformity of the face adversely affects the appearance and psychology of the individual and leads to concerns about their appearance [8, 9]. Facial interventions in
