1. Complex reconstruction of the orbitofrontal regions using three regional flaps after orbital exenteration for the treatment of basal cell carcinoma
- Author
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Catalin Gheorghe Bejinariu, S Marinescu, and Christiana Diana Maria Dragosloveanu
- Subjects
Male ,medicine.medical_specialty ,Skin Neoplasms ,Orbital exenteration ,Case Reports ,Ophthalmologic Surgical Procedures ,Temporal muscle ,Surgical Flaps ,Postoperative results ,Humans ,Medicine ,Basal cell carcinoma ,giant basal cell carcinoma ,facial reconstruction ,Stage (cooking) ,orbital exenteration ,Orbit Evisceration ,Aged ,Retrospective Studies ,Surgical team ,business.industry ,Soft tissue ,General Medicine ,Plastic Surgery Procedures ,medicine.disease ,Facial reconstruction ,Carcinoma, Basal Cell ,Orbital Neoplasms ,Radiology ,Facial Neoplasms ,Tomography, X-Ray Computed ,business - Abstract
Objective. The current paper presents an interesting case of facial reconstruction after the excision of a giant basal cell carcinoma located in the orbitofrontal region. Methods. Performing the excision while securing the appropriate oncologic safety margin has determined the appearance of a soft tissue defect that required a complex reconstruction using three regional flaps: frontal, temporal fascial and temporal muscle flaps. Results. After the excision and reconstruction in a single surgical stage, the postoperative result was favorable, the 12 months assessment showing that the patient was satisfied with the aesthetic aspect. Conclusion. Including the orbital exenterations in the excisional treatment of giant neoplasms located in the facial region requires a complex reconstructive plan. The surgical team has to consider the relief of the anatomical structures that are targeted, as well as the necessity of achieving satisfactory aesthetic results while ensuring oncological radicality.
- Published
- 2020