Modified H-plasty in large basal cell carcinoma defect reconstruction on the forehead
https://doi.org/10.4081/dr.2023.9677
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Basal cell carcinoma (BCC) is the most common malignancy worldwide. Surgical removal is considered the gold standard treatment. However, large defects following excisional surgery can pose a significant challenge for reconstruction, especially in cases where primary closure is not possible. In these cases, skin flaps may be used. Most traditional skin flaps are limited by design to take advantage of only one region of relative skin excess. This paper reports a case of a large forehead defect following BCC excision that was successfully reconstructed by a modified Hplasty involving a U-plasty and rotation-advancement flap. Maintenance of aesthetics without impaired function is the aim of closure defects with combined flaps.
Kang S, Amagai M, Bruckner AL, et al. Fitzpatrick's Dermatology. 9th ed. New York, NY, USA: McGraw-Hill Education; 2019.
Fattahi TT. An overview of facial aesthetic units. J Oral Maxillofac Surg 2003;61:1207-11.
Seline PC, Siegle RJ. Forehead reconstruction. Dermatol Clin 2005;23:1-11.
Robinson JK. Segmental reconstruction of the face. Dermatol Surg 2004;30:67-74.
Quazi SJ, Aslam N, Saleem H, et al. Surgical margin of excision in basal cell carcinoma: a systematic review of literature. Cureus 2020;12:e9211.
Thomson J, Hogan S, Leonardi-Bee J, et al. Interventions for basal cell carcinoma of the skin. Cochrane Database Syst Rev 2020;11:CD003412.
Jayarajan R. A combination flap for nasal defect reconstruction. Ann Plast Surg 2018;81:427-32.
Wang X, Pei J, Zhang BJPS. Facial landmark reconstruction with a combination of local flaps: a novel technique for landmark destruction. Plast Surg (Oakv) 2022;30:68-75.
Zhou R, Wang C, Qian Y, Wang DJ. Combined flaps based on the superficial temporal vascular system for reconstruction of facial defects. J Plast Reconstr Aesthet Surg 2015;68:1235-41.
Klaassen MF, Brown E, Behan F. Simply local flaps. Berlin, Germany: Springer; 2018.
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