Survival and aesthetic outcome of local flaps used for reconstruction of face defects after excision of skin malignancies: Multi-institutional experience of 175 cases

Helmy, Yasser Ahmed; Taha, Ahmed; Khallaf., Abd EL-Nasser; Al-Sheikh, Abd El-Fattah

doi:10.22192/ijcrms.2017.03.05.018

Cited by 3 publications

(3 citation statements)

References 15 publications

(14 reference statements)

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“…Skin cancer is classified into melanoma and nonmelanoma types . Incidence of each type varies according to a genetic, predisposing, ethnic, or geographic factor . In management of facial, scalp, and neck skin cancer, surgery always has a basic contribution .…”

Section: Introductioncontrasting

confidence: 72%

Facial skin cancer reconstructive and cosmetic outcomes: Analysis with algorithm for its management

Ali

Mohamed

Nasef

et al. 2019

J of Cosmetic Dermatology

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Background: Management of facial skin cancer and its complications is important research topics needing continuous update to improve the outcome. Objective:The study is to share our findings with surgeons and healthcare providers.The authors provide their efforts by pooling data from multiple institutions; as reporting surgical outcomes is significantly lacking and much needed in the Middle East and North Africa region in order to meaningfully improve quality of care. This study proposes an algorithm for management that could aid a surgical decision-making for reconstruction of defects after excision of facial skin cancer. Methods:Retrograde simple descriptive analysis study is conducted for multicenter data about management of facial skin cancer and its cosmetic outcome. The analysis involves 159 male patients and 95 females.Results: Nonmelanoma skin cancer was reported in 250 (98.4%) of 254 cases.Reconstructive procedures were complicated in 16 cases (~6.3% of the study). Skin cancer recurrence in head and neck has happened in five cases (~1.9% of the study).Flaps used survived without major complications; however, V-Y advancement flaps showed the best aesthetic outcome. Conclusion:This study reports data in order to meaningfully improve the quality of care. Disease incidence, reconstructive complications, recurrences, and aesthetic outcome of facial skin cancer are included in the study. Based on the data pooling, the study proposes a simple treatment algorithm that could aid in surgical decisionmaking. V-Y advancement flaps showed the best aesthetic outcome. K E Y W O R D Saesthetic, algorithm, face, multicenters, skin cancer | INTRODUC TI ONSkin cancer is classified into melanoma and nonmelanoma types. 1,2 Incidence of each type varies according to a genetic, predisposing, 3 ethnic, or geographic factor. 4 In management of facial, scalp, and neck skin cancer, surgery always has a basic contribution. 5 Surgeons and dermatologists have many choices for the closure of the defects after excision, according to each lesion; site and size, patient age skin elasticity, in addition to individual experience and understanding of facial proportion. 6,7

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Section: Introductioncontrasting

confidence: 72%

Facial skin cancer reconstructive and cosmetic outcomes: Analysis with algorithm for its management

Ali

Mohamed

Nasef

et al. 2019

J of Cosmetic Dermatology

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“…Flap complication reported also 6.3% higher than another study; it was 4.6% in Rao JK & Shende KS study [3]. Facial Flaps outcomes were extensively discussed in another author's article [10].…”

Section: Discussionmentioning

confidence: 91%

Incidence, Recurrence and Complications after Facial Skin Cancer Excision: Retrospective Analysis of Multi-Institutional Experiences

Ali¹

2018

JHNSS

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Objectives: Skin cancer varies in incidence according to Geography, sun exposure, genetic predilection, skin type and many other factors. Definite treatment of skin cancer requires multidisciplinary approach. Surgery is usually giving a strong hand in skin cancer management regardless to the size of the lesion. This study is designed to evaluate the incidence, recurrence and complications in patients, who had undergone facial skin cancer excision then reconstruction.Material and Methods: Retro analysis review was conducted for the complications that had happened in patients who were having facial skin cancer and underwent excision then reconstruction. Of 254 cases, 54, 25 and 175 cases were submitted to direct skin closure, skin grafts and local facial flap reconstruction respectively Results: The total reconstructive surgery complications in this study were in 16 cases of254 (appx. 6.3% of the study). Most of surgical reconstructions are carried out by local facial flaps with good outcomes. Total skin cancer recurrences had been reported in 5 cases (appx. 2.5% of the study). Conclusion:Incidence of skin cancer in sunny countries like Egypt, where there is a cumulative effect of the sun, moves towards nonmelanoma skin cancer. Local skin cancer recurrence in these series is about 2.4%. Different surgical reconstructive modalities areused, including direct simple closure of the wound, skin grafting and local facial flaps. The commonly used flaps for face reconstruction after excision of skin cancer, in this study, are advancement flaps, naso-labial flaps and forehead flaps with the same survival potentiality.

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“…Scar assessment scales exist to evaluate the quality of the scar. Among these, the Patient and Observer Scar Assessment Scale (POSAS) , Vancouver scar scale validated and reliable scale designed for the evaluation of all types of scars by professionals and patients 8,9,10,11 .…”

Section: Introductionmentioning

confidence: 99%

Aesthetic outcome of different subunits of face with various modalities of reconstruction in facial basal cell carcinoma

Kumar¹,

Raj²,

Kakola³

et al. 2022

ijhs

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Background: The incidence of basal cell carcinoma(bcc) involving face is on rise. One of the most promising therapies to this tumour is excision, which leaves a defect that has to be reconstructed in a way that would bring the best possible aesthetic and functional outcome. Aesthetically face is classified into many subunits, each contributing cumulatively to the final appearance of face. Reconstructing these subunits after the excision of bcc to impart a near normal appearance is a very challenging task. The outcome depends on various aspects like the skin type, photodamage , the subunit involved and the type of reconstruction . Aim: This study aims to assess the effect of skin type , photodamage, the site of bcc and the type of reconstruction on the aesthetic outcome through modified Vancouver scar scale scoring system. Material and methods : A prospective study was conducted on 53 patients with facial basal cell carcinoma from February 2020 to February 2022. Patients were classified into Fitzpatrick types . Photodamages were assessed. Keloidal tendencies were ruled out.

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Survival and aesthetic outcome of local flaps used for reconstruction of face defects after excision of skin malignancies: Multi-institutional experience of 175 cases

Cited by 3 publications

References 15 publications

Facial skin cancer reconstructive and cosmetic outcomes: Analysis with algorithm for its management

Facial skin cancer reconstructive and cosmetic outcomes: Analysis with algorithm for its management

Incidence, Recurrence and Complications after Facial Skin Cancer Excision: Retrospective Analysis of Multi-Institutional Experiences

Aesthetic outcome of different subunits of face with various modalities of reconstruction in facial basal cell carcinoma

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