Ruiz ALF, Bueno WJL, Boeta ÁL

Language: Spanish
References: 3
Page: 486-488
PDF size: 152.97 Kb.

ABSTRACT

Introduction: dermato-oncological surgery on the scalp involves the excision and mobilization of large skin areas, with the inherent use of large amounts of local anesthetics.
Clinical case: We describe the case of a 55-year-old woman, diagnosed with a micronodular basal cell carcinoma, who underwent excision and reconstruction during the same surgical time using a novel technique of local anesthesia.
Discussion: using this anesthetic technic, we were able to mobilize 900 cm² of scalp area with only 9 ml of lidocaine/epinephrine and 31.5 ml of saline solution, achieving an excellent anesthetic effect, an equivalent dose of 2.6 mg/kg of lidocaine.
Conclusion: this case provides evidence in favor of extensive dermatological surgery, which eliminates the risk associated with hospital admission, systemic anesthesia, or conscious sedation.

REFERENCES

1. Neill BC, German K, Fox E et al., Technique to minimize local anestheticinjection for scalp reconstruction, Dermatol Surg 2021; 47(2):270-1.

2. Sokoya M, Inman J y Ducic Y, Scalp and forehead reconstruction,Semin Plast Surg 2018; 32(2):90-4.

3. Alam M, Schaeffer MR, Geisler A et al., Safety of local intracutaneouslidocaine anesthesia used by dermatologic surgeons for skin cancerexcision and postcancer reconstruction: quantification of standardinjection volumes and adverse event rates, Dermatol Surg 2016; 42(12):1320-4.