Big Bad BCCs: Craniofacial resection and reconstruction for atypical basal cell carcinomata

Fattah, Adel; Pollock, Julius; Maheshwar, Arcot; Britto, Jonathan A.

doi:10.1016/j.bjps.2009.09.004

Cited by 17 publications

(8 citation statements)

References 23 publications

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“…Fattah et al in case series report on giant head and neck basal cell carcinoma with bone and dura mater involvement, in two out of three cases chose LD for soft tissue defect coverage [32]. Hiernet et al favors the LDFF over the omental flap [31].…”

Section: Discussionmentioning

confidence: 99%

Invasive basosquamous cell carcinoma of the head treated with wide excision and reconstruction with fascia lata graft and two muscle flaps. Case report

Chelmuș¹,

Dobreanu²,

Tripa³

et al. 2015

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Background: Basosquamous carcinoma (BSC) is a variant of basal cell carcinoma subtype that is locally aggressive with high tendency for recurrence and metastasis and a poor prognosis. Up to 95% are located in head and neck area. Treatment for invasive BSC with aggressive growth pattern is wide excision and reconstruction. Complex defects require free tissue transfer to protect underlying structures and to sustain the adjuvant radiotherapy.Case report: A 57 year-old male presented with ulcerated, bleeding tumors in frontal and periauricular area, identified as BSC on biopsy. CT-scan revealed contact to dura mater. Wide excision included frontal bone and dura mater, frontal sinus, lateral orbital wall and exenteration, ear en-bloc with parotid gland. Dura mater was replaced with fascia lata graft, frontal sinus was filled with pedicled temporalis muscle and 20/25 cm soft tissue defect was covered with free Latissimus dorsi muscle anastomosed to superior thyroid artery and internal jugular vein branch, respectively. The muscle was skin grafted 14 days later.Results: Postoperative recovery was complicated: cerebrospinal fluid leak, extradural hematoma, posthemorrhagic anemia, pneumonia, and withdrawal syndrome, remitted under specific treatment. Muscle flap survived entirely with skin graft fully integrated. Positive margins on dura mater and mastoid bone required radiotherapy.Conclusions: Wide excision of head invasive BSC resulted in complex defect reconstructed with fascia lata graft, temporalis muscle and Latissimus dorsi free flap grafted secondarily. Short-term evaluation showed no recurrence and good life-quality; follow-up is needed to evaluate long-term results. Interdisciplinary approach is the key for patient's successful treatment.

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Section: Discussionmentioning

confidence: 99%

Invasive basosquamous cell carcinoma of the head treated with wide excision and reconstruction with fascia lata graft and two muscle flaps. Case report

Chelmuș¹,

Dobreanu²,

Tripa³

et al. 2015

Arch Clin Cases

View full text Add to dashboard Cite

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“…Los resultados estéticos (aunque secundarios en este caso) son, además, equiparables con ambas opciones quirúrgicas. Algunos autores opinan que los colgajos libres son la única posibilidad reconstructiva para la cobertura de defectos extensos, principalmente mediante la utilización de colgajos de omentum 14 o de latissimus dorsi 6 . Nosotros creemos que incluso defectos muy extensos, como en el caso expuesto, se pueden solucionar casi siempre con colgajos locales pediculados sin demasiada repercusión funcional ni esté-tica y resultando además, una opción mucho más sencilla.…”

Section: Discussionunclassified

Carcinoma basocelular invasivo de cuero cabelludo: Caso clínico

et al. 2010

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“…Los resultados estéticos (aunque secundarios en este caso) son, además, equiparables con ambas opciones quirúrgicas. Algunos autores opinan que los colgajos libres son la única posibilidad reconstructiva para la cobertura de defectos extensos, principalmente mediante la utilización de colgajos de omentum 14 o de latissimus dorsi 6 . Nosotros creemos que incluso defectos muy extensos, como en el caso expuesto, se pueden solucionar casi siempre con colgajos locales pediculados sin demasiada repercusión funcional ni estética y resultando además, una opción mucho más sencilla.…”

Section: Discussionunclassified

Carcinoma basocelular invasivo de cuero cabelludo. Caso clínico

et al. 2010

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Basal cell carcinoma is the most frequent skin malignant neoplasm, although it doesn't usually compromise a vital risk. However, there are cases in which their local aggressiveness is very important, and it get deep structures. We present a 62 years old female operated several times because multifocal basal cell carcinoma on her scalp. She consulted with a wide local recidive affecting dura mater and superior sagittal sinus. We show the clinical case and the surgical treatment employed realized by Plastic and Neurosurgery Departments.

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Big Bad BCCs: Craniofacial resection and reconstruction for atypical basal cell carcinomata

Cited by 17 publications

References 23 publications

Invasive basosquamous cell carcinoma of the head treated with wide excision and reconstruction with fascia lata graft and two muscle flaps. Case report

Invasive basosquamous cell carcinoma of the head treated with wide excision and reconstruction with fascia lata graft and two muscle flaps. Case report

Carcinoma basocelular invasivo de cuero cabelludo: Caso clínico

Carcinoma basocelular invasivo de cuero cabelludo. Caso clínico

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