Aesthetic Unit-Based Reconstruction of Facial Defects with Local Flaps after Surgical Excision of Basal Cell Carcinoma
Ali, A. (2021). Aesthetic Unit-Based Reconstruction of Facial Defects with Local Flaps after Surgical Excision of Basal Cell Carcinoma. EKB Journal Management System, 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". EKB Journal Management System, 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', EKB Journal Management System, 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. EKB Journal Management System, 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 Egyptian Journal of Plastic and Reconstructive Surgery
Article 3, Volume 45, Issue 3, July 2021, Page 121-131  XML PDF (35.24 MB)
Document Type: Research article
DOI: 10.21608/ejprs.2021.183836
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Author
Ahmed A. A. Ali*
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.
Keywords
Facial defects; Local flaps; Basal cell carcinoma
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