Plastic-reconstructive Surgery in perioral Defects after Resection of carcinomas: Analysis of 48 patients

Introduction:

The perioral region (lips) is a typical localisation of basal cell carcinomas (BCC) and squamous cell carcinomas (SCC) in elder patients. Myriad reconstructive options are available in dependance from size and localisation of the defect.

Methods:

This was a retrospektive series of 48 patients with BCC (n = 37) and SCC (n = 11) in perioral region between 2015 – 2017. The patients were median 76,3 years old (male 23, female 25). The operations were performed in two operating sessions with paraffin sections for a final histopathological diagnosis with free margins or in a single operating session with intraoperative frozen section margin analysis. We closed the defects all in all with 8 different methods especially subcutaneous pedicle island flap.

Results:

There were no flap failure. Oral competencies were well preserved (no hypertrophic scars, closed lips, phonetics, mimic art, denture possible) and esthetic results were satisfactory.

Conclusions:

Based in our experience we can show, that this operations are successful possible in elder patients. In the next decades we have to estimate, that the number of people with BCC/SCC increase extremely.

Publication History

Publication Date:
18 April 2018 (online)