Varied Presentations of Basal Cell Carcinoma and Its Management with Reconstruction of Defects: An Experience from a Tertiary Healthcare Centre
Introduction: Basal cell carcinoma (BCC) originates in the basal layer of the epidermis and spreads slowly, usually locally before metastasizing. Adequate margins of excision during surgery are curative. Reconstruction of facial abnormalities resulting from excision is crucial yet difficult. Materia...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Acta Medica International |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/amit.amit_94_24 |
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| Summary: | Introduction:
Basal cell carcinoma (BCC) originates in the basal layer of the epidermis and spreads slowly, usually locally before metastasizing. Adequate margins of excision during surgery are curative. Reconstruction of facial abnormalities resulting from excision is crucial yet difficult.
Materials and Methods:
A literature review was conducted to determine the most prevalent guidelines guiding the best reconstruction of postexcisional defects on the face, and a retrospective review of hospital records for patients treated for BCC of the face at our institute during the previous 3 years, which ranged from September 2020 to September 2023, was carried out. The records of 28 patients with BCC over the face who underwent surgical management including reconstruction at our hospital were identified and details were recorded. The details of each patient including age, sex, BCC type, location, defect size (cm), type of reconstruction, and esthetic outcome were analyzed.
Results:
All patients responded well to the surgical procedures and experienced no problems associated with anesthesia or any other systemic complications. Postoperatively, no hematomas or wound site infections were observed in any of the patients. There were no cases of graft loss, and all flaps fully survived.
Conclusion:
After BCC is excised, reconstruction of face abnormalities in various facial esthetic units is crucial. Important factors influencing esthetic results include the surgeon’s skill level, the patient’s preference, and the location and size of the defect. Better results can be achieved with more recent reconstructive techniques, such as freestyle perforator flaps, but expertise from the operator is paramount. |
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| ISSN: | 2349-0578 2349-0896 |