An alternative flap approach for auricle reconstruction

Year 2013, Volume: 3 Issue: 1, 32 - 35, 01.03.2013

Gürkan Kayabaşoğlu

https://doi.org/10.5505/sakaryamj.2013.64325

Abstract

Skin cancers are the most commonly seen tumors in human, due to sun exposure %80 of them are identified in head and neck region. Basal cell carcinoma and squamous cell carcinoma compose the majority of the skin tumors. The defects of the auricles can be reconstructed with local skin flaps or free skin grafts. In this report we represent a transpositional random flap reconstruction for a 2 cm central auricular defect after a 12 mm squamous cell carcinoma excision from left central auricule.

Keywords

skin cancer, cancer of ear auricle, pedicled flaps

Aurikula Cilt Tümörlerinin Onarımında Alternatif Bir Flep

Abstract

Cilt kanserleri insanlarda en sık görülen tümöral oluşumlardır ve % 80 sıklıkla güneş ışınlarına temasın çok fazla olduğu bölgeler olan baş boyun bölgesinde bulunurlar. Cilt tümörlerinin çoğunluğunu bazal hücreli ve yassı hücreli karsinomlar oluştururlar. Aurikula bölgesindeki tümörler bölgesel fleplerle yada cilt greftleri ile onarılabilirler. Bu yayında sol aurikulasındaki sentral yerleşimli 12 mm'lik cilt lezyonuna yassı hücreli karsinom tanısı konan hastanın yapılan eksizyonu sonrasındaki 2 cm lik defektinin postauriküler random transpozisyon flebi ile rekonstrüksiyonu sunulmuştur.

Keywords

cilt kanserleri, kulak kepçesi kanseri, pediküllü flep

References

• Miller DL, Weinstock MA: Non melanoma skin cancer in the United States: incidence. J Am Acad Dermatol 30:774, 1994.
• Goldman GD. Squamous cell cancer: A practical approach. Semin Cutan Med Surg 1998;17:80-95.
• Rowe DE, Caroll RJ, Day CL. Prognostic factors for local recurrence, metastasis, and survival rates in squamous cell carcinoma of the skin, ear, and lip. Implications for treatment modality selection. J Am Acad Dermatol 1992;26: 976-90.
• Marks R. Squamous cell carcinoma. Lancet 1996;347:735- 8.
• Mohs FE: Chemosurgery: A microscopically controlled method of cancer excision. Arch Surg 44:279, 1941
• Crissey JT: Curettage and electrodesiccation as a method of treatment of epitheliomas of the skin. J Surg Oncol 3:287, 1971
• Dawber R, Colver G, Jackson A: Cutaneous Cryosurgery: Principles and Clinical Practice. London, Martin Dunitz, 1992, p 95
• Demir UL, Apaydın F. Our experience with surgery of non melanoma cutaneous malinancies of head and neck. Kulak Burun Bogaz Ihtis Derg.2009, 19(3): 138-45
• Luce EA: Oncologic considerations in nonmelanoma skin cancer. Clin Plast Surg 22:39-50, 1995 71.
• Rowe DE, Carrol RJ, Day CL Jr: Prognostic factors for local recurrence, metastasis, and survival rates in squamous cell carcinoma of the skin, ear and lip: Implications for treatment modality selection. J Am Acad Dermatol 26:976-990, 192
• Van der Eerden PA, Prins ME, Lohuis PJ, Balm FA, Vuyk HD. Eighteen years of experience in Mohs micrographic surgery and conventional excision for non melanoma skin cancer treated by a single facial plastic surgeon and pathologist. Laryngoscope. 2010 Dec;120(12): 2378-84
• Olbrecht SM: Treatment of malignant cutaneous tumors. Clin Plast Surg 20:1, 1993
• Brent B. The acquired auricular deformity. A systematic approach to its analysis and reconstruction. Plast Reconstr Surg. 1977;59(4):475-85.
• Antia NH, Buch VI. Chondrocutaneous advancement flap for marginal defect of the ear. Plast Reconstr Surg. 1967;39(5):472-7.
• Ira Papel. Facial Plastic and Reconstructive Surgery 2nd Edition.p 615-634
• Millard DR Jr. The chondrocutaneous flap in partial auricular repair. Plast Reconstr Surg. 1966; 37(6):523-30.
• Cronin, TD. One stage reconstruction of the helix: two improved methods. Plast Reconstr Surg. 1952;9:547-55.