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Surgical excision with forehead flap as single modality treatment for Basal cell cancer of central face: single institutional experience of 50 cases.

Rao J, Deora H - J Skin Cancer (2014)

Bottom Line: Functional and cosmetic outcomes were satisfactory.Conclusion.The forehead flap represents one of the best methods for repair of extensive facial defects.

View Article: PubMed Central - PubMed

Affiliation: Department of Plastic Surgery, Sawai Man Singh Medical College, Jaipur, Rajasthan 300204, India.

ABSTRACT
Basal cell carcinoma (BCC) is the most common skin cancer worldwide. The WHO has defined it as "a locally invasive, slowly spreading tumor which rarely metastasizes, arising in the epidermis or hair follicles and in which the peripheral cells usually simulate the basal cells of the epidermis." Here we discuss the management of BCCs of central face with surgical excision and reconstruction with forehead flap as single modality treatment. Material and Methods. This is a retrospective review of 50 patients who underwent surgical excision of BCC involving the facial region followed by primary reconstruction using forehead flaps at a single institution. There were 20 males and 30 females, mean age of 59 years. Results. No recurrence at primary site was observed during the follow-up of 1-4 yrs. There was no ectropion or exposure sequela. However, epiphora was evident. Size of lesions ranged from 2 to 6 cm. Keloid formation was seen in 2 (4%) patients. Functional and cosmetic outcomes were satisfactory. Conclusion. For the face, the best reconstructive effort eventually fails in the face of tumor recurrence. The forehead flap represents one of the best methods for repair of extensive facial defects. Complete tumor extirpation, the primary event, is the key.

No MeSH data available.


Related in: MedlinePlus

Final result at follow-up.
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fig5: Final result at follow-up.

Mentions: Cosmetically, there were some color mismatch and no eyelashes. All patients required debulking of the flaps because of the bulky appearance. Debulking was done 3–6 months following the reconstructive procedures. In 30 patients, the entire forehead donor site was closed at the time of primary reconstruction. In the rest of the 20 patients, partial graft loss was observed in 5 of them which was later excised at the time of dressing and was allowed to heal secondarily. Keloid formation was seen in 2 patients (4%). All patients were satisfied with the functional and cosmetic outcomes (Figure 5).


Surgical excision with forehead flap as single modality treatment for Basal cell cancer of central face: single institutional experience of 50 cases.

Rao J, Deora H - J Skin Cancer (2014)

Final result at follow-up.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3927749&req=5

fig5: Final result at follow-up.
Mentions: Cosmetically, there were some color mismatch and no eyelashes. All patients required debulking of the flaps because of the bulky appearance. Debulking was done 3–6 months following the reconstructive procedures. In 30 patients, the entire forehead donor site was closed at the time of primary reconstruction. In the rest of the 20 patients, partial graft loss was observed in 5 of them which was later excised at the time of dressing and was allowed to heal secondarily. Keloid formation was seen in 2 patients (4%). All patients were satisfied with the functional and cosmetic outcomes (Figure 5).

Bottom Line: Functional and cosmetic outcomes were satisfactory.Conclusion.The forehead flap represents one of the best methods for repair of extensive facial defects.

View Article: PubMed Central - PubMed

Affiliation: Department of Plastic Surgery, Sawai Man Singh Medical College, Jaipur, Rajasthan 300204, India.

ABSTRACT
Basal cell carcinoma (BCC) is the most common skin cancer worldwide. The WHO has defined it as "a locally invasive, slowly spreading tumor which rarely metastasizes, arising in the epidermis or hair follicles and in which the peripheral cells usually simulate the basal cells of the epidermis." Here we discuss the management of BCCs of central face with surgical excision and reconstruction with forehead flap as single modality treatment. Material and Methods. This is a retrospective review of 50 patients who underwent surgical excision of BCC involving the facial region followed by primary reconstruction using forehead flaps at a single institution. There were 20 males and 30 females, mean age of 59 years. Results. No recurrence at primary site was observed during the follow-up of 1-4 yrs. There was no ectropion or exposure sequela. However, epiphora was evident. Size of lesions ranged from 2 to 6 cm. Keloid formation was seen in 2 (4%) patients. Functional and cosmetic outcomes were satisfactory. Conclusion. For the face, the best reconstructive effort eventually fails in the face of tumor recurrence. The forehead flap represents one of the best methods for repair of extensive facial defects. Complete tumor extirpation, the primary event, is the key.

No MeSH data available.


Related in: MedlinePlus