INTRODUCTION TO FACIAL FLAPS - 03/09/11

Doi : 10.1016/S0733-8635(05)70240-0

Joel Cook, MD ^{^{*
Department of Dermatology, Medical University of South Carolina College of Medicine, Charleston, South Carolina}}

Résumé

Nonmelanoma skin cancers are the most common human malignancy.^{13Glass A.G., Hoover R.N. The emerging epidemic of melanoma and squamous cell skin cancer JAMA 1989 ; 262 : 2097-2100

Cliquez ici pour aller à la section Références, 16Green A. Changing patterns in the incidence of nonmelanoma skin cancer Epithel Cell Biol 1992 ; 1 : 47-51

Cliquez ici pour aller à la section Références, 19Miller D.L., Weinstock M.A. Nonmelanoma skin cancer in the United States: Incidence J Am Acad Dermatol 1994 ; 30 : 774-778 [cross-ref]

Cliquez ici pour aller à la section Références} In the United States, more than 1 million cases of skin cancer were expected to occur in 2000. Racial pigmentary characteristics and cumulative sun exposure are the most important factors in identifying the patient at risk for skin cancer.^{1Aubry F., MacGibbon R. Risk factors of SCC of the skin Br J Cancer 1985 ; 55 : 907-911 [cross-ref]

Cliquez ici pour aller à la section Références, 12Gallagher R.P., Hill G.B., Bajdik C.D., et al. Sunlight exposure, pigmentation factors and risk of nonmelanocytic skin cancers Arch Dermatol 1995 ; 131 : 164-169

Cliquez ici pour aller à la section Références, 17Green A., MacLennan R., Youl P., et al. Site distribution of cutaneous melanoma in Queensland Int J Cancer 1993 ; 53 : 232-236 [cross-ref]

Cliquez ici pour aller à la section Références, 24Vitasa B.C., Taylor H.R., Strickland P.T., et al. Association of nonmelanoma skin cancers and actinic keratoses with cumulative solar ultraviolet exposure in Maryland waterman Cancer 1990 ; 65 : 2811-2817 [cross-ref]

Cliquez ici pour aller à la section Références} The face is the most common location for nonmelanoma skin cancer.^{23Scotto A., Fears T.R., Fraumen J.F. Incidence of nonmelanoma Skin Cancer in the United States. NIH publication no. 83-2435 Washington, DC: Public Health Service (1983).

Cliquez ici pour aller à la section Références} The dermatologic surgeon treating skin cancer must be proficient in tumor extirpation and surgical reconstruction of a wide variety of facial defects.

Many methods may be used to treat skin cancers of the face, including destruction by various techniques, chemotherapy (topical and rarely systemic), photodynamic therapy, radiation therapy, surgical excision, and Mohs' micrographic surgery. Surgical excision perhaps is the most widely used method of skin cancer treatment. When treating skin cancer surgically, the goal is curative, but conservative, surgical resection.

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Address reprint requests to Joel Cook, MD, Department of Dermatology, Medical University of South Carolina, 96 Jonathan Lucas Street, Suite 623, Charleston, SC 29425, e-mail: Cookjw@musc.edu