Reconstructive method after basal cell carcinoma excision of the face.

概要

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We obtained cosmetically satisfactory results by using diverse flaps for reconstruction after excision of basal cell carcinoma of the face.Wide local excision is necessary for surgical treatment of malignant skin tumors, asin the case of facial areas. In general case, skin grafting is temporarily applied, andfullscale recontruction is performed after it has been confirmed that there is noreccurence or matastasis. However, since the face is an exposed part, we cannotobtain cosmetically successful results by using skin grafting in many cases.Basal cell carcinoma is a malignant skin tumor we encounter most frequently, butdistant metastasis seldom develop. It therefore seems possible for us to apply technique which is superior in the cosmetic aspect, such as using flaps from the biginning. For small defects, local flaps with good texture match and color match are usuallyapplied. On the other hand, micro surgery is applied when the defect become largeror nerve or bone is exposed.It is important to remove the tumor completely without any remainings when usingflaps. We conduct rapid pathologic diagnosis during the operation or check pathologically for remainings by coating the wound with Biobrane® before reconstructive surgery.With this method, we have obtained satisfactory results in both clinical and cosmetic aspects thus far.
日本皮膚悪性腫瘍学会の論文