Management of Facial Skin Cancer: Surgical Excision and Immediate Reconstruction.
- Author:
Joo Yun LEE
1
;
Hong Ryul JIN
;
See Ok SHIN
;
Young Seok CHOI
;
Dong Wook LEE
Author Information
1. Department of Otolaryngology, College of Medicine, Chungbuk National University, Cheongju, Korea. hrjin@chungbuk.ac.kr
- Publication Type:Original Article
- Keywords:
Skin cancer;
Excision;
Defects;
Reconstruction
- MeSH:
Carcinoma, Basal Cell;
Follow-Up Studies;
Nose;
Retrospective Studies;
Skin Neoplasms*;
Skin*;
Transplants
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2003;46(10):833-840
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: Successful management of facial skin cancer needs complete removal of tumor with appropriate reconstruction of facial defect. A variety of methods have been used for the removal of tumor and reconstruction of the defect. The purpose of this study is to report our experience on management of facial skin cancer by surgical excision and immediate reconstruction. METHOD: Twenty-three cases of facial skin cancer which were treated by surgical excision and immediate reconstruction, were analyzed retrospectively. Basal cell carcinoma was the most common skin cancer and the nose was the most common site. Surgical excision was done with appropriate safety margin and the resection margin was confirmed with permanent sections. Immediate reconstruction was done using primary closure, skin graft, and local flaps according to the type, size, and location of the tumor. RESULTS: There were no recurrent cases during 13 months of follow up. There were no significant complications after the reconstruction except minor esthetic dissatisfaction. Local flap was the most efficient method for reconstruction with good esthetic outcome. CONCLUSION: Facial skin cancer can be successfully managed by surgical excision and immediate reconstruction.
