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Aesthetic Reconstruction of Face following Excision of Basal Cell Carcinoma in a Tertiary Care Institution.

Mangesh Kundlik Pawar,Aneesh Suresh,Ishita Katyal,Apurva Agrawal,Suparna N Prerepa.


Abstract

Basal Cell Carcinoma (BCC) is the most common skin malignancy worldwide with head and neck region affected most commonly. Once the lesion is excised,careful planning is required to choose the appropriate method of reconstruction based on principles of facial aesthetic surgery. This paper discusses the management of BCC of the face with various local reconstructive options used at our institute and their outcomes.

Aims:

This study aims to establish the versatility of local flaps used for facial reconstruction to achieve optimal functional and aesthetic outcome.

Materials and Methods:

This is a retrospective review of 45 cases of basal cell carcinoma (BCC) involving the face that were treated at our center from 2016 to 2020. All patients underwent surgical excision of BCC followed by reconstruction using local flaps. 28 patients were male and 17 patients were female with a mean age of 56 years. The duration of follow-up ranged from one year to 3 years.

Results:

In our study, limberg flap was the reconstructive option in 31.1% of cases. Paramedian forehead flap was used in 22.2% and primary closure was used in 15.6% of cases. Other reconstructive options include glabellar flap and dorsal nasal flap, lid switch flap, shutter flap, Mustarde cheek rotation flap and standard forehead flap.
Few instances of morbidity were noted. Glabellar and dorsal nasal flap resulted in loss of nasal radix and trapdoor deformity was noted in limberg flap used to cover cheek defect. None of the patients had recurrence.

Conclusion:

Local flaps hold an important place in the plastic surgeon’s armamentarium. The treatment can be tailored individually to achieve optimum functional and aesthetic reconstruction

Key words: Keywords: Cutaneous Malignancies, Basal Cell Carcinoma, BCC, Local Flaps, Facial Aesthetic surgery.






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