González GJF, Alcalá PD

Language: Spanish
References: 7
Page: 240-243
PDF size: 207.78 Kb.

ABSTRACT

Introduction: Non-melanoma skin cancer is the most frequent cancer worldwide and has a high morbidity. Most cases are treated successfully with surgery, so it is important to know the anatomical areas to guide their reconstruction.
Objectives: To describe the techniques of reconstruction by subunits with topography on the face, as well as to evaluate the functional and aesthetic results after the surgical intervention. Design and methodology: It is a descriptive study and a series of cases are presented.
Place and patients: In the Dermatooncology Service of the Centro Dermatológico Dr. Ladislao de la Pascua, six patients candidates for surgical treatment with non-melanoma skin cancer, who had not received previous treatments and who agreed and signed the consent, were included.
Results: The ideal reconstruction technique on the forehead is the lateral advancement flap, either single or double; in the glabelar area the scars must be vertical; at the eyebrow level, micrografts of the scalp, advancement, rotation and island flaps can be performed. Each eyelid is an aesthetic subunit, it can be reconstructed with grafts replacing the entire unit, or a transposition flap of the parallel eyelid. In the internal canthus and in the nasal lateral wall, zygomatic flap of advancement of cheek or closures can be made by second intention in case of small defects. The nose, being the most frequent topography of basal cell carcinoma (cbc), can be reconstructed with multiple flaps in case the defect is less than 50% of the subunit, otherwise graft is used. On the lips you can use mucosal flaps. Cheek reconstruction is usually done with advance, rotation, Mustarde flaps, among others.
Conclusions: The reconstructive method to be used must be individualized for each anatomical zone, taking in consideration the type of primary defect and according to the surgeon’s experience. It is essential to know the expression lines and anatomical areas to obtain the best functional and aesthetic results.

REFERENCES

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