Aesthetic subunit reconstruction of basal cell carcinoma face

Authors

  • Paheli Garg Department of Plastic and Reconstructive Surgery, Sawai Mansingh medical college and hospital, Jaipur, Rajasthan, India
  • R. K. Jain Department of Plastic and Reconstructive Surgery, Sawai Mansingh medical college and hospital, Jaipur, Rajasthan, India
  • Aakansha Vashistha Department of Plastic and Reconstructive Surgery, Sawai Mansingh medical college and hospital, Jaipur, Rajasthan, India
  • Asha Khushalani Department of Plastic and Reconstructive Surgery, Sawai Mansingh medical college and hospital, Jaipur, Rajasthan, India

DOI:

https://doi.org/10.18203/2349-2902.isj20232979

Keywords:

Basal cell carcinoma, Aesthetic subunits, Glabellar flap, Forehead flap, Limber flap, Mustarde flap

Abstract

Background: Arising from the basal cell layer of epidermis; BCC is one of the most common cutaneous malignancy encountered in elderly (77%) followed by SCC (20%) and malignant melanoma (3%).

Method: A prospective observational study was conducted at department of plastic and reconstructive surgery with 50 patients included for over a span of 2 years. Patients with biopsy confirmed BCC lesion over face were included and were grouped on the basis of subunit involved and type of flap done.

Results: The 50 patients were included which comprised of 16(32%) males and 34 (68%) females. Mean age was 61±10.2 years. Smallest defect size was of 1.5 cm2 whereas largest defect size was of 5 cm2. Cheek was the most common site of occurrence. Cheek advancement flap was the most commonly performed flap.

Conclusions: Reconstruction of facial subunit post BCC excision with local tissue has superior aesthetic outcome in terms of colour and texture than any other modality.

References

Ali A. Aesthetic Unit-Based Reconstruction of Facial Defects with Local Flaps after Surgical Excision of Basal Cell Carcinoma. Egypt J Plast Reconstruct Surg. 2021;45(3):121-31.

Kang KW, Lee DL, Shin HK, Jung GY, Lee JH, Jeon MS. A Retrospective Clinical View of Basal Cell Carcinoma and Squamous Cell Carcinoma in the Head and Neck Region: A Single Institution's Experience of 247 Cases over 19 Years. Arch. Craniofac. Surg Jun. 2016;17(2):56-62.

Mohapatra DP, Friji MTS, Dinesh K, Chittoria RK, Pathan I, Koliath S. Reconstruction of defects following excision of basal cell carcinoma of face: A subunit-based algorithm. J Cutaneous Aesthetic Surg. 2023;16(1):1-13.

Welly W, Khairuddin D. Clinical study of basal cell carcinoma on the face: A 5-year retrospective study of 70 cases in a teaching hospital Surg Cosmet Dermatol. Rio de Janeiro. 2020;12(3):222-9.

Naik PP, Desai MB. Basal Cell Carcinoma: A Narrative Review on Contemporary Diagnosis and Management. Oncol Ther. 2022;10:317-35.

Smith V, Walton S. Treatment of facial Basal cell carcinoma: A review. J Skin Cancer. 2011;1-7.

Hofer SO, Mureau MA. Improving outcomes in aesthetic facial reconstruction. Clin Plast Surg. 2009;36(3):345-54.

Fattahi TT. An overview of facial aesthetic units. J Oral Maxillofac Surg. 2003;61:1207-11.

Rieger RA. A local flap for repair of the nasal tip. Plast Reconstr Surg. 1967;40:147-9.

Doğan F, Özyazgan İ. New flap for the reconstruction of the perinasal region. Facial Plast Surg. 2014;30(6):676-80.

Yan Y, Fu R, Ji Q. Surgical Strategies for Eyelid Defect Reconstruction: A Review on Principles and Techniques. Ophthalmol Ther. 2022;11:1383-408.

Gibreel W, Harvey JA, Garrity J, Bite U. Lower eyelid reconstruction using a nasolabial, perforator-based V-Y advancement flap: Expanding the utility of facial perforator flaps. Ann Plast Surg. 2019;82:46-52.

Furr MC, Wang TD. Complex local flap design in cheek reconstruction. Op Techn Otolaryngol Head Neck Surg. 2011r;22(1):53-8.

Hanks JE, Moyer JS, Brenner MJ. Reconstruction of cheek defects secondary to Mohs microsurgery or wide local excision. Facial Plast Surg Clin North Am. 2017;25:443-61.

Downloads

Published

2023-09-28

Issue

Section

Original Research Articles