Combined treatment of advanced stages of recurrent skin cancer of the head

Pompucci, Angelo; Rea, Giancarla; Farallo, Eugenio Giuseppe; Salgarello, Marzia; Campanella, Antonino; Férnández, Eduardo F.

doi:10.3171/jns.2004.100.4.0652

Cited by 12 publications

(5 citation statements)

References 25 publications

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“…This study, designed to maximize long‐term follow‐up, specifically assessed local control and disease‐specific survival for advanced nonmelanoma skin cancer. Our survival outcomes differ little from previous reports 2,6,7,9,10,15 . Because 31 subjects had prior treatment, we were, in essence, using craniofacial resection as a salvage procedure for gross and microscopic disease.…”

Section: Discussioncontrasting

confidence: 69%

“…Our survival outcomes differ little from previous re-ports. 2,6,7,9,10,15 Because 31 subjects had prior treatment, we were, in essence, using craniofacial resection as a salvage procedure for gross and microscopic disease. The trend toward improved local control in the group that could receive adjunctive radiotherapy or in those with BCC may justify surgery or combination surgery and radiotherapy for improved locoregional control with a chance at long-term survival in that subset of patients.…”

Section: Discussionmentioning

confidence: 99%

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Craniofacial Resection for Nonmelanoma Skin Cancer of the Head and Neck

et al. 2005

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Section: Discussioncontrasting

confidence: 69%

Section: Discussionmentioning

confidence: 99%

Craniofacial Resection for Nonmelanoma Skin Cancer of the Head and Neck

et al. 2005

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“…Заміщення поодиноким ротаційним клаптем дефектів шкіри, найменший розмір яких >5 -6 см, асоціюється з підвищеним ризиком ішемії та некрозу автотрансплантата. Для запобігання цьому формують значний за розмірами клапоть на широкій основі [6][7][8]. Покроковий мультифакторний дискримінантний аналіз (МANOVA) виявляє відмінності між групами об'єктів спостереження за декількома змінними одночасно з розподілом об'єктів на групи за певними градаціями із урахуванням змінних.…”

Section: матеріали та методиunclassified

Improvement of reconstructive surgical operations with closure of skull tissue defects in primary malignant tumors with intra-extracranial and extra-intracranial localization

Morozov,

Kvasha

2023

Ukr. ìnterv. nejroradìol. hìr.

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Objective ‒ to improve reconstructive and plastic methods of treatment of patients with malignant tumors that spread beyond the brain skull to ensure a decent quality of life.Materials and methods. The results of a comprehensive clinical examination and surgical treatment (with a reconstructive component) of 21 patients with scalp and skull tissue defects operated on in the extracerebral tumor clinic of Romodanov Institute of Neurosurgery of NAMS of Ukraine in the period from 2018 to 2021. There were 9 women and 12 men among the patients. The age of the patients is from 36 to 80 years old. All patients underwent clinical, neurological and instrumental examinations. The diagnosis was verified by the results of histopathomorphological examination. Statistical methods (discriminant analysis (MANOVA)) were used for data processing. Statistical significance was tested using the Pearson test (χ²).Results. The patients were divided into two groups. The main group (n=16) – operated on using adapted patented plastic techniques that take into account the optimal angle of direction of stress vectors in the tissue of skin-aponeurotic flaps in the postoperative period during stress relaxation. The comparison group was made up of 5 people operated on using traditional methods of mobilization and fixation of skin-aponeurotic flaps. Using the patient’s own tissues is the most reliable and effective method of cosmetic restoration of the head after radical treatment for locally advanced tumors. Active tactics (postoperative monitoring of the flap) make it possible to detect blood circulation disorders in the transplanted tissues at an early stage and to carry out a timely revision of the anastomoses. Performing simultaneous reconstructive operations is an integral part of complex treatment of patients with malignant tumors, expands the indications for performing gentle operations, allows to obtain «excellent» and «good» functional and aesthetic results in 85 % of cases. Simultaneous microsurgical reconstructive operations are possible in patients after complex treatment, although the frequency of thrombotic complications in this group was higher (12.5 %) than in the comparison group (7.5 %).Conclusions. The perspective of plastic-reconstructive replacement of defects for clinical application has been proven and the method has been improved using the latest technologies.Key words: malignant tumors; intracranial/extracranial spread; surgical treatment; reconstruction; quality of life.

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“…Заміщення поодиноким ротаційним клаптем дефектів шкіри, найменший розмір котрих понад 5-6 см, асоціюється з підвищеним ризиком ішемії та некрозу трансплантата. Для запобігання цьому формують значний за розмірами клапоть на широкій основі [12][13][14][15][16].…”

Section: ключевые слова: злокачественные опухоли; кожа головы; дефектunclassified

A new way of plastic replacement of the skin defects in the surgical treatment of malignant extracerebral tumors located at the midline of the head

Кваша

Morozov

2019

Ukr Neurosurg J

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Combined treatment of advanced stages of recurrent skin cancer of the head

Abstract: Advances in skull base surgery and free-flap reconstruction allowed the authors to treat patients with advanced-stage RSC of the head in a rather satisfactory manner. Only when it is impossible to achieve no or minimal residual disease should aggressive treatment be considered.

Cited by 12 publications

References 25 publications

Craniofacial Resection for Nonmelanoma Skin Cancer of the Head and Neck

Craniofacial Resection for Nonmelanoma Skin Cancer of the Head and Neck

Improvement of reconstructive surgical operations with closure of skull tissue defects in primary malignant tumors with intra-extracranial and extra-intracranial localization

A new way of plastic replacement of the skin defects in the surgical treatment of malignant extracerebral tumors located at the midline of the head

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