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}}

Resumen

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

Haga clic aquí para ir a la sección de Referencias, 16 Green A. Changing patterns in the incidence of nonmelanoma skin cancer Epithel Cell Biol 1992 ; 1 : 47-51

Haga clic aquí para ir a la sección de Referencias, 19 Miller D.L., Weinstock M.A. Nonmelanoma skin cancer in the United States: Incidence J Am Acad Dermatol 1994 ; 30 : 774-778 [cross-ref]

Haga clic aquí para ir a la sección de Referencias} 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.^{1 Aubry F., MacGibbon R. Risk factors of SCC of the skin Br J Cancer 1985 ; 55 : 907-911 [cross-ref]

Haga clic aquí para ir a la sección de Referencias, 12 Gallagher R.P., Hill G.B., Bajdik C.D. , y al. Sunlight exposure, pigmentation factors and risk of nonmelanocytic skin cancers Arch Dermatol 1995 ; 131 : 164-169

Haga clic aquí para ir a la sección de Referencias, 17 Green A., MacLennan R., Youl P. , y al. Site distribution of cutaneous melanoma in Queensland Int J Cancer 1993 ; 53 : 232-236 [cross-ref]

Haga clic aquí para ir a la sección de Referencias, 24 Vitasa B.C., Taylor H.R., Strickland P.T. , y al. Association of nonmelanoma skin cancers and actinic keratoses with cumulative solar ultraviolet exposure in Maryland waterman Cancer 1990 ; 65 : 2811-2817 [cross-ref]

Haga clic aquí para ir a la sección de Referencias} The face is the most common location for nonmelanoma skin cancer.^{23 Scotto 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).

Haga clic aquí para ir a la sección de Referencias} 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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Esquema

RECONSTRUCTIVE OPTIONS

PATIENT SELECTION

OPERATIVE APPROACH

SUMMARY

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