Nasal reconstruction of multiple nasal subunits skin defect using an “island flap” after oncological surgery for basal cell carcinoma

ORL ro ◽  
2018 ◽  
Vol 3 (40) ◽  
pp. 18
Author(s):  
Ioana Dumitrescu ◽  
Andrada Stan ◽  
Silvius Ioan Negoiță
Keyword(s):  
Basal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Basal Cell ◽  
Island Flap ◽  
Nasal Reconstruction ◽  
Skin Defect ◽  
Oncological Surgery

scholarly journals Local flap for reconstruction of nasal defect following excision of basal cell carcinoma of nose

2016 ◽  
Vol 9 (4) ◽  
pp. 208
Author(s):  
Hasib Rahman ◽  
Syed Farhan Ali Razib ◽  
Md. Abul Kalam Azad ◽  
M. A. Mannan ◽  
Md. Ashik Anwar Bahar ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Basal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Basal Cell ◽  
Local Flap ◽  
Nasal Reconstruction ◽  
Nasolabial Flap ◽  
Forehead Flap ◽  
Nasal Defect ◽  
Satisfactory Outcome

<p class="Abstract">Reconstruction of soft tissue at the nose following excision of basal cell carcinoma is always challenging, because of both functional and aesthetic importance of nose. The local flap is always preferable to skin graft as this produces “like with like” replacement, pliable cover and vascularized tissue over the skeletal framework. In this paper, we discussed six cases of nasal reconstruction with bilobed flap, forehead flap, and nasolabial flap. All flaps survived and the patients had satisfactory outcome.</p>

scholarly journals Metastatic Basal Cell Carcinoma in the Axilla: Reconstruction with a Lateral Pectoral Island Flap

2011 ◽  
Vol 102 (1) ◽  
pp. 53-57
Author(s):  
A. Martorell-Calatayud ◽  
V. Sanz-Motilva ◽  
D. Candelas ◽  
I. Sanchez-Carpintero ◽  
Y. Delgado ◽  
...  
Keyword(s):  
Basal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Basal Cell ◽  
Island Flap ◽  
Metastatic Basal Cell Carcinoma

COMBINED CERVICOFACIAL ADVANCEMENT AND COMPOSITE FOREHEAD FLAP RECONSTRUCTION OF THE CHEEK NOSE REGION FOLLOWING EXCISION OF BASAL CELL CARCINOMA – A CASE REPORT

2021 ◽  
pp. 3-4
Author(s):  
Surya Rao Rao Venkata Mahipathy ◽  
Alagar Raja Durairaj ◽  
Narayanamurthy Sundaramurthy ◽  
Anand Prasath Jayachandiran ◽  
Suresh Rajendran
Keyword(s):  
Basal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Basal Cell ◽  
The Elderly ◽  
Soft Tissue Defect ◽  
Nasal Reconstruction ◽  
Facial Defects ◽  
Aesthetic Results ◽  
The Face ◽  
The Right

Large facial defects are difcult to reconstruct especially of the cheek and nose. Varoius methods have been used to ll defects of the face. Here, we discuss about a large soft tissue defect of the cheek, nasolabial area and the right nasal sidewall and ala which occurred following excision of a basal cell carcinoma. The defect was reconstructed by a double ap, a cervicofacial advancement ap for the cheek and nasolabial area with a composite forehead ap for the nose. The cervicofacial ap gives good aesthetic results with minimal scar and good colour and texture match to the surrounding skin and is very helpful in the elderly due to their skin laxity and the scars hidden well in the wrinkles. It causes minimal morbidity. The forehead ap is a well known ap in the armamentarium for nasal reconstruction with excellent results.

Nasal Reconstruction with an Elongated Right Paramedian Flap after Maxillectomy for Basal Cell Carcinoma

1997 ◽  
Vol 1 (3) ◽  
pp. 170-174
Author(s):  
Francisco M. Camacho ◽  
Jose C. Moreno ◽  
Felipe Rodriguez-Adrados
Keyword(s):  
Basal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Basal Cell ◽  
Distal Portion ◽  
Advancement Flap ◽  
Nasal Reconstruction ◽  
Nasolabial Fold ◽  
Upper Lip ◽  
Primary Defect ◽  
Transposition Flap

Background: An extensive basal cell carcinoma that reached the maxillary sinus was removed. In the first reconstructive stage, we closed the primary defect on the sinus with a rotation-transposition flap. The distal portion of the flap necrosed, producing a defect in the nasolabial fold that left the sinus open and caused upward retraction of the upper lip. Objective: The defect of the nasolabial fold had to be corrected and the sinus closed; in a later stage, the retractile scar that appeared on the upper lip also needed correction. Methods: We used a delayed, elongated, right paramedian flap to correct the defect on the nasolabial fold and to close the sinus. We then corrected the retractile scar on the upper lip with a V-Y advancement flap. Results: The defect was closed without complications and the V-Y flap worked in returning the upper lip to its anatomic position. Conclusion: The midforehead flap is best for the reconstruction of the tip and the alar areas of the nose, including the near nasolabial fold. The V-Y advancement flap is an easy flap that allows one to correct retractions around the facial orifices. In dermatologie surgery, the final results must be as esthetic as possible.

scholarly journals Lateral Forehead Flap in Neglected Giant Basal Cell Carcinoma of the Nose: A Case Report

2019 ◽  
Vol 13 (4) ◽  
pp. 133
Author(s):  
Jonathan Kevin ◽  
Renate Parlene Marsaulina ◽  
Alberta J Jesslyn Gunardi ◽  
Irena Sakura Rini
Keyword(s):  
Basal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Basal Cell ◽  
Donor Site ◽  
Nasal Reconstruction ◽  
Split Thickness Skin Graft ◽  
Reconstruction Method ◽  
Forehead Flap ◽  
Complex Reconstruction ◽  
Nasal Defects

Introduction: Neglected basal cell carcinoma (BCC) of the nose can grow into giant BCCs, rare cases with extensive nasal defects. Such large defects would require complex reconstruction such as free flaps or multiple local flaps. Lateral forehead flap may provide a simpler alternative with good functional and cosmetic results.Case Presentation: We present a case of a 76-year-old man with neglected giant BCC of nose extending to right lower eyelid and upper lip. Wide excision of the tumor leaves a 12cm x 10cm defect. Reconstruction was performed using lateral forehead flap and donor site was covered with split-thickness skin graft from thigh. The second surgery was done after four months to create nostrils and wider eye-opening. Six months later, flap was viable and there was no sign of recurrence. Nasal reconstruction is planned to further improve cosmetics. In this case, neglect is due to low social-economic status and adaptation to painless tumors. The use of lateral forehead flap allows for simpler and faster surgery suitable for elderly. Delayed reconstruction was needed to ensure optimal tissue healing. Conclusions: Neglected BCC causes disfigurement with remarkable morbidity, requiring complex reconstruction. The lateral forehead flap is a simple and reliable reconstruction method for extensive nasal defects with good functional and cosmetic outcomes.

Reconstruction of Basal Cell Carcinoma over Face by Facial Flaps –Study of 30 Cases

2018 ◽  
Vol 30 (2) ◽  
pp. 20-25
Author(s):  
Subrata Ghosh ◽  
Milon Kumar Chowdhury ◽  
Nripendra Nath Biswas ◽  
Sunandita Sarkar ◽  
Anindita Sarkar ◽  
...  
Keyword(s):  
Basal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Basal Cell ◽  
Wound Dehiscence ◽  
Advancement Flap ◽  
Skin Defect ◽  
First Choice ◽  
Flap Repair ◽  
The Face ◽  
Operative Recovery

Background: Basal cell carcinoma (BCC) is the most common skin cancer.85% of BCC are located in the head and neck area, of which 30% on the nose. After excision of BCC on the face, the options of treatment for a skin defect are variable. Many surgeons prefer to use a local flap rather than skin graft or free flap for small or moderately sized circular defects after excision of BCC on the face.Methods: All of the patients were histopathologically diagnosed as Basal cell carcinoma, thirty patients underwent various flaps like V-Y advancement flap, bilobed flap, forehead flap, nasolabial flap, glabellar flap repair over 3 years, between January 2014 to December 2016. We observed post-operative complications as flap loss either partial or complete, wound dehiscence, hematoma and wound infection and recurrence of carcinoma. The cosmetic outcome of the face also evaluated.Results: There were 19 men and 11 women. The age ranged from 48 to 73 years with a mean age of 62 years. The causes were BCC in all cases. The tumour locations were the face in all patients. All of the flaps survived, but in one case recurrence of BCC occur, which was managed surgically. Post-operative recovery was very nice.Conclusions: Our study shows facial flaps give nice result and first choice for facial reconstruction in BCC of face. Most defects can best closed by various facial flaps and outstanding functional and cosmetic results can be achieved.TAJ 2017; 30(2): 20-25

scholarly journals BASAL CELL CARCINOMA

2007 ◽  
Vol 14 (02) ◽  
pp. 204-211
Author(s):  
MUHAMMAD FARRUKH AFTAB ◽  
IRFAN AHMAD ◽  
ABDUL MANAN
Keyword(s):  
Basal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Basal Cell ◽  
Neck Region ◽  
Excision Biopsy ◽  
Skin Defect ◽  
Reconstructive Procedures ◽  
Direct Closure ◽  
Study Results ◽  
One Year

Introduction:- Basal cell carcinoma is the most common skinmalignancy, accounting for about 80% of all skin cancers and may be lethal. Its recognition and management shouldbe familiar to all the general surgeons. Objective:- To describe the prevalence, mode of presentation and varioussurgical options of reconstruction in the management of basal cell carcinoma (BCC) with a local perspective. Setting:-Nishtar Hospital, Multan. Duration:- One year (October 2002 to September 2003). Sample size:- 60 patients. Studydesign:- Descriptive study. Results:- Out of sixty cases, 50 (83%) were male and 10 (17%) were female. Majority ofthe patients presented to us above the age of 45 years and the incidence of BCC increases with the age. The male tofemale ratio was 5:1. Out of 60 cases 26 (20 male, 6 female) 43.3% were farmer, 16 (all male) 26.6% was constructionworkers, 10 (8 male, 2 female) 16.6% were unemployed and 8 (all female) 13.3% were household. No patient presentedbefore 5 years after the development of the lesion. 34 (30 male, 4 female) 56.6% for the last 6-10 years, 20 (16 male,4 female) 33.3% for the last 11-15 years, 2 (all male) 3.3% for 16-20 years and 4 (2 male, 2 female) 6.6% had lesionsfor > 20 years. All the lesions encountered in present study occurred on exposed head and neck region as is evidentfrom the table-III. Most of the patients had the nodular pigmented type of BCC and majority of them were male. Noneof them have Gorlin’s syndrome (Table-IV). Common variant on histopathology was found to be solid type withadenocystic type being the commonest lesion. After the excision of the lesion the skin defect most of the time wasclosed by the mean of split skin graft. Direct closure was done in quarter of the patients. A number of postoperativecomplications were observed after various reconstructive procedures. Wound was found to be commonest complication;with majority of cases getting only minor wound infection. Conclusion:- Delay in presentation has an overall negativeeffect on the outcome. A simple excision, excision biopsy with adequate margin clearance gives surgeon more freedomfor reconstruction.

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