JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF HEAD NECK & SPINE SURGERY

JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF HEAD NECK & SPINE SURGERY

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


Authored by Yasser Helm Ali

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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