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Skin lesions in the upper lip/nasal region.

Lanteri AC - Eplasty (2011)

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Division of Plastic Surgery, UMDNJ-New Jersey Medical School, Newark, NJ.

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Case 1: A 50-year-old woman presents for excision of lesion along right nasolabial fold, which has been present for 2 years and has been increasing in size... Case 2: A 47-year-old man presents for excision of lesion along right nasolabial fold, which has been present for 1.5 years and has been increasing in size... In the 2 cases described, biopsy identified both lesions as BCC... Basal cell carcinoma is the most prevalent skin cancer and is commonly found in sun-exposed areas including the head and neck... Surgical treatment options for BCC include curettage and electrodesiccation, Mohs procedure, and excision... However, it is a blind technique and this lack of margin control limits its use to nonaggressive and superficial BCC... Mohs surgery examines 100% of surgical margins to provide the best long-term cure rates; however, it is expensive and time-consuming when compared to other techniques... Surgical excision removes the clinically apparent tumor and a sufficient margin to achieve high cure rates... In determining the best surgical margin for BCC, Gulleth et al conducted a meta-analysis of the literature and compared average recurrence rates and the relative risk of recurrence in margins 1- to 4-mm versus a 5-mm resection... Although a larger surgical margin lowers the relative risk of recurrence, they found that achieving a clear surgical margin does not correlate with lower recurrence risk... For surgeons who desire a minimum 95 percent cure rate, the data indicates that a 3-mm surgical margin may be safely used for BCC lesions 2 cm or smaller... Transposition flaps like the V-Y advancement flap are alternatives to FTSG and take little time, are not risky, and recover faster... However, planning must be meticulous or a bad outcome will result... Variables such as the size of the defect, its location, the quality of skin, and the surgical preference are used to determine the best treatment for each individual patient.

No MeSH data available.


Full-thickness skin grafting (a) and V-Y advancement flap (b).
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Figure 2: Full-thickness skin grafting (a) and V-Y advancement flap (b).


Skin lesions in the upper lip/nasal region.

Lanteri AC - Eplasty (2011)

Full-thickness skin grafting (a) and V-Y advancement flap (b).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3020792&req=5

Figure 2: Full-thickness skin grafting (a) and V-Y advancement flap (b).

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Division of Plastic Surgery, UMDNJ-New Jersey Medical School, Newark, NJ.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Case 1: A 50-year-old woman presents for excision of lesion along right nasolabial fold, which has been present for 2 years and has been increasing in size... Case 2: A 47-year-old man presents for excision of lesion along right nasolabial fold, which has been present for 1.5 years and has been increasing in size... In the 2 cases described, biopsy identified both lesions as BCC... Basal cell carcinoma is the most prevalent skin cancer and is commonly found in sun-exposed areas including the head and neck... Surgical treatment options for BCC include curettage and electrodesiccation, Mohs procedure, and excision... However, it is a blind technique and this lack of margin control limits its use to nonaggressive and superficial BCC... Mohs surgery examines 100% of surgical margins to provide the best long-term cure rates; however, it is expensive and time-consuming when compared to other techniques... Surgical excision removes the clinically apparent tumor and a sufficient margin to achieve high cure rates... In determining the best surgical margin for BCC, Gulleth et al conducted a meta-analysis of the literature and compared average recurrence rates and the relative risk of recurrence in margins 1- to 4-mm versus a 5-mm resection... Although a larger surgical margin lowers the relative risk of recurrence, they found that achieving a clear surgical margin does not correlate with lower recurrence risk... For surgeons who desire a minimum 95 percent cure rate, the data indicates that a 3-mm surgical margin may be safely used for BCC lesions 2 cm or smaller... Transposition flaps like the V-Y advancement flap are alternatives to FTSG and take little time, are not risky, and recover faster... However, planning must be meticulous or a bad outcome will result... Variables such as the size of the defect, its location, the quality of skin, and the surgical preference are used to determine the best treatment for each individual patient.

No MeSH data available.