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

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.

Author(s):  
Siswanto Wahab ◽  
Khairuddin Djawad

Basal cell carcinoma (BCC) is the most common type of nonmelanoma skin cancer (NMSC). It grows slowly and very rarely metastasizes but can cause substantial morbidity due to its tendency to relapse and locally invasive nature, especially when located on the face. Excision surgery is still the gold standard treatment for primary BCC and is usually followed by reconstruction procedure. Skin flap techniques vary widely, one of which is flap advancement technique. The main benefit of flap advancement technique is the ability to hide the excision line, thus resulting in an aesthetically sound outcome. We report a case of 72-year-old female with hyperpigmented plaque brownish lump on the left lateral cheek. A diagnosis of igmented basal cell carcinoma had been confirmed through histopathological examination. The patient was treated with wide excision surgery and the defect was closed by multiple advancement flaps. Follow-up after three months showed excellent cosmetic and functional outcome.


2003 ◽  
Vol 30 (3) ◽  
pp. 250-251 ◽  
Author(s):  
Kiyomi Matsushita ◽  
Akira Kawada ◽  
Yoshinori Aragane ◽  
Tadashi Tezuka

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 ◽  
...  

<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>


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