Ali, A. (2021). Aesthetic Unit-Based Reconstruction of Facial Defects with Local Flaps after Surgical Excision of Basal Cell Carcinoma. The Egyptian Journal of Plastic and Reconstructive Surgery, 45(3), 121-131. doi: 10.21608/ejprs.2021.183836
Ahmed A. A. Ali. "Aesthetic Unit-Based Reconstruction of Facial Defects with Local Flaps after Surgical Excision of Basal Cell Carcinoma". The Egyptian Journal of Plastic and Reconstructive Surgery, 45, 3, 2021, 121-131. doi: 10.21608/ejprs.2021.183836
Ali, A. (2021). 'Aesthetic Unit-Based Reconstruction of Facial Defects with Local Flaps after Surgical Excision of Basal Cell Carcinoma', The Egyptian Journal of Plastic and Reconstructive Surgery, 45(3), pp. 121-131. doi: 10.21608/ejprs.2021.183836
Ali, A. Aesthetic Unit-Based Reconstruction of Facial Defects with Local Flaps after Surgical Excision of Basal Cell Carcinoma. The Egyptian Journal of Plastic and Reconstructive Surgery, 2021; 45(3): 121-131. doi: 10.21608/ejprs.2021.183836
Aesthetic Unit-Based Reconstruction of Facial Defects with Local Flaps after Surgical Excision of Basal Cell Carcinoma
The Department of Plastic Surgery, Faculty of Medicine, South Valley University
Abstract
Background: Basal cell carcinoma (BCC) represents the most common type of facial skin cancer in Middle East and Egypt. It rarely metastasizes, but because of its locally destructive nature, it can cause high morbidity. Reconstruction by local flap after surgical excision depends on the size of the defect and the affected facial aesthetic unit. Aim: To reveal the prevalence of facial BCC, relation of its site to facial aesthetic units and type of local flaps used for reconstruction per units. Patients and Methods: A retrospective study was conducted on 80 patients with facial BCC that admitted to the outpatient clinic, Plastic Surgery Department, Qena University Hospital from June 2018 to May 2020 (2 years duration). Only earlystage and primary tumors were included. Statistical analysis: Data was analyzed using the Statistical Package for Social Sciences (SPSS) version 24. A p-value significant. Results: 80 patients with facial basal cell carcinoma (BCC) were collected from medical records. 45 (56.25%) patients were males and 35 (43.75%) patients were females (M:F = 1.3:1). Ages ranged from 52-78 years old (SD = 65±13). Nodular subtype was the most common clinical type of BCC and presented in 45 (56.25%) patients. Nasal unit was the most common site in 18 (22.5%) patients. The most random flap applied was the rhomboid (Limberg) flap in 15 cases. The most axial flap used was the nasolabial flap in 9 cases. Complications (6 cases, 7.5%) included: Wound dehiscence in 3 cases, infection in 2 cases and skin slough in 1 case. The SCAR scale score result ranged from 0-2 score. Conclusion: Facial defects reconstruction after surgery for basal cell carcinoma is a complex endeavor that requires careful consideration. There are many different local flaps available depending on the particular facial subunit that requires reconstruction. Careful recognition of the principles of the facial subunits will equip the surgeon to achieve the best possible functional and aesthetic outcomes.
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