Korean J Otolaryngol-Head Neck Surg.  2003 Oct;46(10):833-840.

Management of Facial Skin Cancer: Surgical Excision and Immediate Reconstruction

• Lee JY
• Jin HR
• Shin SO
• Choi YS
• Lee DW

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.

Keyword

Skin cancer; Excision; Defects; Reconstruction

MeSH Terms

Carcinoma, Basal Cell
Follow-Up Studies
Nose
Retrospective Studies
Skin Neoplasms*
Skin*
Transplants