For citation purposes: Kumar SLK, Khalam SA, Jacob MM, Manuel S, Kurien NM, Varghese MP. Maxillofacial reconstruction following the excision of basal cell carcinoma: Case report. OA Case Reports 2014 Aug 18;3(7):63.

Case report

 
Surgery

Maxillofacial reconstruction following the excision of basal cell carcinoma: Case report.

L Surej Kumar, S Khalam, M Jacob, S Manuel, N Kurien, M Vaghese
 

Authors affiliations

(1) PMS College of Dental Science & Research,Trivandrum,India

* Corresponding author Email: drsherin666@gmail.com

Abstract

Introduction

Local flaps have been commonly used in the reconstruction of small facial defects left after excision of primary tumours. However, larger defects often present a surgical difficulty and may necessitate free flaps. However, in the repair of such large defects, multiple local flaps may prove to be a viable and satisfactory alternative.

Case Report

We resected a lesion 4*5cm size, quadrilateral in shape, on the left ala of the nose, extending on to the dorsum, left infra orbital and malar regions along with a wide margin of normal tissue. Reconstruction of the resultant defect was done using multiple local flaps namely the paramedian forehead flap, the lateral cheek rotation flap & the platysma myocutaneous flap.

Discussion

Facial defects can be managed with the correct choice of local flap. Local flaps being easy to harvest and handle, provide good results due to good matching of the skin in terms of colour, texture, and thickness.

Conclusion

Our case, throws light, on the versatility of multiple local facial flaps for maxillofacial reconstruction.

Licensee OA Publishing London 2014. Creative Commons Attribution License (CC-BY)
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