Local skin flaps in reconstruction following excision of basal cell carcinomas of the cheek and temple.
Twenty-seven male patients had been treated surgically for basal cell carcinomas of the temple and cheek. Eighteen tumors were classically nodular, seven cystic, and two cicatricial. A safety margin of 0.5--1.0 cm in nodular and cystic tumors, and 1.0--1.5 cm in cicatricial variety has proven satisfactory. Reconstruction has been achieved by local skin flap: Limberg rhomboid flap for the temple, cheek transposition flap for the anterior portion of the check, combined pre- and postauricular transposition flaps for the middle part of the cheek and advancement flap(s) with Bürow's triangles for tumours of the preauricular region. Principles and practical points of each flap have been discussed. The proposed safety margins have been enough to clear the lesions as proved by histopathological examination. Cosmetic result has been satisfactory, and there has been no recurrence over a period of 6 months to 3 years.
D002280:Basal Cell Carcinoma / Q000601:surgery*; D002610:Cheek; D005546:Forehead; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D012878:Skin Neoplasms / Q000601:surgery*; D013524:Surgical Flaps