Defect Closure After Wide Excision of Basal Cell Carcinoma : A Case Series
Sari
Basal cell carcinoma is the foremost common skin cancer, accounting for 75-80% of nonmelanoma cancers. This malignancy is commonly found in sun-exposed areas like the face and neck. This malignancy rarely causes death, but it can result in significant local damage to the soft tissue, cartilage, and bone, impacting both function and aesthetics, particularly in the facial region. The main treatment for BCC is wide excision followed by reconstruction to close the defect. The choice of reconstructive procedure depends on various factors, such as size, location, involvement of deeper structures, cosmetic considerations, and function. There are various types of facial skin reconstruction, including local and regional flaps. This case series reports reconstruction of basal cell carcinoma after wide excision using local and regional flaps. Local and regional flaps provide matching skin color and texture as well as adequate blood supply. Both have superior aesthetic and functional advantages.
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Devi, P. A., Kwartantaya, K., Setyawati, N. K., Martalova AJ, A., & Sutiawan, I. S. (2023). Kasus karsinoma sel basal pada seorang wanita lanjut usia yang diterapi dengan eksisi dan island pedicle flap. Intisari Sains Medis, 14(3), 1040–1043. https://doi.org/10.15562/ism.v14i3.1847.
Djawad, K., Wahab, S., & Nurdin, A. (2021). Successful basal cell carcinoma defect reconstruction using combination of rotation and advancement flap: Two case reports. Dermatology Reports, 13(2), 75–77. https://doi.org/10.4081/DR.2021.9087.
FiedyaWati, K., & Rudyan, J. (2022). Basal Cell Carcinoma Treated by Excision and Skin Flap with Histopathology Result Still Have Tumour Cell on the Bottom. European Journal of Medical and Health Sciences, 4(4), 9–11. https://doi.org/10.24018/ejmed.2022.4.4.1399.
Fortuna, F., & Fasril, T. (2023). V-Y FLAP pada Squamous Cell Carcinoma Mandibula: Laporan Kasus. Scientific Journal, 2(4), 166–175. https://doi.org/10.56260/sciena.v2i4.122.
Huda, B. K. N., Rahmadewi, Listiawan, M. Y., Kusumaputra, B. H., Citrashanty, I., Sari, M., Indrawati, D., & Yunita, I. (2023). Pigmented basal cell carcinoma in an old man treated with surgical excision and flap reconstruction: a case report. Bali Medical Journal, 12(3), 3453–3459. https://doi.org/10.15562/bmj.v12i3.5130.
Kang, S., Amagai, M., Bruckner, A. L., Enk, A. H., Margolis, D. J., Mcmichael, A. J., & Orringer, J. S. (2019). Fitzpatrick’s Dermatology.
Kevin, J., Marsaulina, R. P., Gunardi, A. J. J., & Rini, I. S. (2019). Lateral Forehead Flap in Neglected Giant Basal Cell Carcinoma of the Nose: A Case Report. Indonesian Journal of Cancer, 13(4), 133. https://doi.org/10.33371/ijoc.v13i4.664.
Lee, K. S., Kim, J. O., Kim, N. G., Lee, Y. J., Park, Y. J., & Kim, J. S. (2017). A Comparison of the Local Flap and Skin Graft by Location of Face in Reconstruction after Resection of Facial Skin Cancer. Archives of Craniofacial Surgery, 18(4), 255–260.
https://doi.org/10.7181/acfs.2017.18.4.255.
McDaniel, B., Badri, T., & RB, S. (2024). Basal Cell Carcinoma. In StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; https://www.ncbi.nlm.nih.gov/books/NBK482439/.
Nopy Arianti, K., Made Oka Sastrawan, Fatur Reyhan Muradi, Muhammad Aflah, & Casvin Jus. (2022). Wide eksisi dan flap rhomboid pada karsinoma basal sel regio facial. Intisari Sains Medis, 13(3), 640–644. https://doi.org/10.15562/ism.v13i3.1505.
PERABOI. (2020). Panduan Penatalaksanaan Kanker Peraboi 2020. Perhimpunan Ahli Bedah Onkologi Indonesia, 115–157.
Putri, S. A., Fitra, Y. J., & Kurniadi. (2022). V-Y Nasolabial Flap for Reconstruction After Basal Cell Carcinoma Excision. Cermin Dunia Kedokteran, 49(6), 348–350. https://doi.org/10.55175/cdk.v49i6.248.
Rahman, H., Razib, S. F. A., Azad, M. A. K., Mannan, M. A., Bahar, M. A. A., & Uddin, M. M. (2016). Local flap for reconstruction of nasal defect following excision of basal cell carcinoma of nose. Bangabandhu Sheikh Mujib Medical University Journal, 9(4), 208. https://doi.org/10.3329/bsmmuj.v9i4.29804.
Rigby, M. H., & Hayden, R. E. (2014). Regional flaps: A move to simpler reconstructive options in the head and neck. Current Opinion in Otolaryngology and Head and Neck Surgery, 22(5), 401–406. https://doi.org/10.1097/MOO.0000000000000090.
Saber, A. Y., Hohman, M. H., & Dreyer., M. A. (2024). Basic Flap Design. In StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK563252/.
Sari, M., Shavira, P. H., Kusumaputra, B. H., Citrashanty, I., & Listiawan, M. Y. (2023). Wide excision of Basal Cell Carcinoma on the upper extremity: A case report. Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya, 7(2), 293–299. https://doi.org/10.30651/jqm.v7i2.15495.
Shende, K. S. (2016). Overview of Local Flaps of the Face for Reconstruction of Cutaneous Malignancies: Single Institutional Experience of Seventy Cases. Journal of Cutaneous and Aesthetic Surgery, 9(4): 220–. https://doi.org/10.4103/0974-2077.197029.
Subagio, Hanum, S. Y. M., Chrisna, R., & Harahap, R. R. P. (2023). Karsinoma sel basal di nasolabial dengan eksisi dan advancement flap. Jurnal Pandu Husada, 4(1), 28–32.
Suyuthie HD, Harahap WA, Khambri D, & R, R. (2022). Eksisi Luas dan Rekonstruksi Karsinoma Sel Basal Wajah di RSUP DR. M. Djamil Padang, Indonesia. Cermin Dunia Kedokteran, 49(1), 27–31. https://doi.org/10.55175/cdk.v49i1.185.
Tan, S. T., Ghasnawie, M., & Reginata, G. (2016). Deteksi Dini Karsinoma Sel Basal. Indonesian Journal of Cancer, 10(2), 61. https://doi.org/10.33371/ijoc.v10i2.428.
Topik, M. M., & Alratisda, F. (2023). Island Pedicle Flap Pada Dinding Hidung Dengan Karsinoma Sel Basal. Lentera : Jurnal Ilmiah Sains, Teknologi, Ekonomi, Sosial, Dan Budaya, 7(2), 25–28. https://doi.org/10.51179/ltr2.v7i2.2052.
DOI: https://doi.org/10.33024/jikk.v12i5.18470
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