Reconstruction With Modified Face Lift and Orbicularis Oculi V-Y Advancement Flap for Sebaceous Carcinoma on Temple Area.
Extraocular sebaceous carcinoma that occurs on sebaceous gland is a rare malignant cancer with unknown causes and nonspecific clinical characters, but with distinct pathology and immunohistochemical finding. In Kangnam Sacred Heart Hospital, there was a case that the result of preoperative punch biopsy was squamous cell carcinoma and malignant proliferating trichilemmal tumor, but that of postoperative permanent biopsy was sebaceous carcinoma. The type of tumor, differentiation, location, and aesthetic results are considered to get both recurrence-safe and aesthetically pleasing result. Various flaps were considered, and modified face-lift flap, forehead rotation flap, orbicularis oculi V-Y advancement flap were planned. There were no sign of recurrence of cancer or functional and aesthetical deformities 6 months after the surgery.
Department of Plastic & Reconstructive Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Republic of Korea.
Byeong Ho
BH
Lee
Joo Hyun
JH
Kim
Seong Hoon
SH
Park
Duk Kyun
DK
Ahn
In Suck
IS
Suh
Hii Sun
HS
Jeong
D018266:Adenocarcinoma, Sebaceous / Q000601:surgery*; D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis; D003937:Diagnosis, Differential; D005152:Facial Muscles / Q000601:surgery*; D005153:Facial Neoplasms / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D019042:Muscle Neoplasms / Q000601:surgery*; D018295:Neoplasms, Basal Cell / Q000175:diagnosis; D010347:Patient Care Planning; D019651:Plastic Surgery Procedures / Q000379:methods*; D015361:Rhytidoplasty / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods; D013524:Surgical Flaps / Q000637:transplantation*; D013701:Temporal Bone / Q000473:pathology