Cancer of the Forehead and Temple Regions

Grekin, Roy C.; Schaler, Rick E.; Crumley, Roger L.

doi:10.1016/s0733-8635(18)30562-x

Cited by 10 publications

(4 citation statements)

References 24 publications

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“…7 Devido ao escasso número de casos publicados, o tratamento pós-operatório não é padronizado. A radioterapia e a quimioterapia mostram resultados diversos na literatura; 7,9,11 Barret et al, 12 por exemplo, indicam a radioterapia como um tratamento adjunto de tumores com alto grau de profundidade invasora. A terapêutica relacionada a retinoides e interferon tem mostrado ser de algum benefício em casos esporádicos.…”

Section: Discussionunclassified

Múltiplos tumores de escalpe com invasão intracraniana: Exérese e reconstrução com retalho miocutâneo de músculo grande dorsal

et al. 2015

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Hospital Erasto Gaertner, Curitiba, PR, Brasil. Palavras-Chave► neoplasias cutâneas ► carcinoma basocelular ► procedimentos cirúrgicos reconstrutivos ResumoObjetivo O objetivo deste trabalho é descrever o tratamento realizado em um paciente com lesão de escalpe, com invasão e destruição craniana, invasão da duramáter e comprometimento cerebral.Método Relata-se um caso de um paciente masculino, 54 anos, com lesões em couro cabeludo frontal, ulcerada e infectada que destruía a calota craniana, invadia a duramáter, obstruía o terço anterior do seio sagital superior e apresentava massa que comprimia os lobos frontais. Além disso, apresentava lesões em ambas as orelhas. O paciente foi submetido à ressecção ampla e agressiva, cujo exame anatomopatológico evidenciou carcinoma espinocelular invasor na região frontal e orelha direita, e carcinoma basocelular na região auricular esquerda. Após a ressecção cirúrgica, foi realizada a reconstrução imeditata com enxerto de fáscia lata, costelas e retalho microcirúrgico de músculo grande dorsal.Resultados Paciente apresentou melhora clínica e estética. Conclusão Carcinoma de escalpe com acometimento intracraniano é uma condição extremamente grave. O tratamento é multidisciplinar, devendo sempre buscar uma ressecção completa com reconstrução do defeito da forma mais fisiológica e estética possível.

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Section: Discussionunclassified

Múltiplos tumores de escalpe com invasão intracraniana: Exérese e reconstrução com retalho miocutâneo de músculo grande dorsal

et al. 2015

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“…The scalp, 6 forehead, 6,7 temple, 7 and nose 8 are areas where tissue expansion may give a significantly improved cosmetic result. However tissue expansion may be considered for the repair of any extensive defect either prior to or after Mohs micrographic surgery.…”

Section: When To Consider Tissue Expansionmentioning

confidence: 99%

“…Physicians performing Mohs micrographic surgery frequently produce such defects and it is therefore important that the interrelationship between these two techniques is discussed. Some authors writing on the subject of Mohs micrographic surgery have mentioned tissue expansion 7–10 and Johnson et al 11 describe the use of intraoperative tissue expansion for a patient with a defect produce by Mohs micrographic surgery.…”

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confidence: 99%

Tissue Expansion and Mohs Micrographic Surgery

Carruthers

1993

The Journal of Dermatologic Surgery and Oncology

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Tissue expansion is of value in the repair of some defects produced by Mohs micrographic surgery. In particular, defects of the nose, forehead, temple and scalp as well as extensive defects in other areas may require expansion. Tissue expansion should be considered prior to Mohs micrographic surgery in these cases. Intraoperative and rapid expansion are useful adjuncts to other repair options. Complications of expansion are frequent and must be anticipated.

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“…1 These tumors tend to be larger, more invasive, and have a higher risk for recurrence and metastasis. [2][3][4] The superficial temporal branch of the facial nerve (cranial nerve VII) is the most commonly injured motor nerve during facial cutaneous surgery. 5 The risk of damage to the temporal nerve is elevated when compared with other branches of the facial nerve because of its superficial course in the temporofrontal region of the face as it exits the upper pole of the parotid gland and runs within the superficial musculoaponeurotic system (SMAS) across the superior rim of the zygomatic arch.…”

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confidence: 99%

Damage to the Temporal Branch of the Facial Nerve From Mohs Micrographic Surgery

et al. 2022

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BACKGROUND The temporal branch of the facial nerve is at risk of damage during Mohs micrographic surgery (MMS). This complication leads to motor deficit in the ipsilateral upper face with resultant functional and cosmetic impairment. OBJECTIVE To identify patient, tumor, and surgical risk factors associated with temporal nerve damage. MATERIALS AND METHODS A single-institution, retrospective review of MMS cases involving anatomic sites within the temporal nerve danger zone was performed. Risk factors were compared between cases with and without nerve damage. RESULTS Of 616 cases within the danger zone, 28 (4.5%) had postoperative nerve dysfunction. Variables significantly associated with dysfunction included patient immunosuppression, tumor size, aggressive tumor histology, recurrent tumors, high degree of subclinical spread, and greater average number of Mohs stages. Preoperative tumor size and postoperative defect size of $3 cm resulted in a 337 and 340 increased odds of nerve damage, respectively. Sex, age, and basal versus squamous cell carcinoma were not significantly associated with temporal nerve damage. No patients with a postoperative defect size measuring ,2 cm had nerve damage. CONCLUSION The overall risk of damage to the temporal nerve during MMS is low, but there are certain risk factors that warrant increased counseling about this potential complication.

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Cancer of the Forehead and Temple Regions

Cited by 10 publications

References 24 publications

Múltiplos tumores de escalpe com invasão intracraniana: Exérese e reconstrução com retalho miocutâneo de músculo grande dorsal

Múltiplos tumores de escalpe com invasão intracraniana: Exérese e reconstrução com retalho miocutâneo de músculo grande dorsal

Tissue Expansion and Mohs Micrographic Surgery

Damage to the Temporal Branch of the Facial Nerve From Mohs Micrographic Surgery

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