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Research Article| Volume 22, ISSUE 1, P2-12, March 2011

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Philosophy on the closing of facial defects: Choosing the right procedure

  • Krista M. Rodriguez-Bruno
    Affiliations
    Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins Hospital, Baltimore, Maryland
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  • Patrick J. Byrne
    Correspondence
    Address reprint requests and correspondence: Patrick J. Byrne, MD, Johns Hopkins Outpatient Center, 601 N. Caroline Street, 6th Floor, Baltimore, MD 21287
    Affiliations
    Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins Hospital, Baltimore, Maryland
    Search for articles by this author
      The reconstruction of defects created from the treatment of skin cancer can be extremely challenging based on endless variability in location, size and depth. This article attempts to synthesize major principles into a guide with which to approach skin cancer reconstruction. Three major areas are addressed when planning a reconstructive strategy and these include: general principles of head and neck reconstruction and defect closure, patient-specific factors, and lesion-specific factors.

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      References

        • Poulsen M.
        • Burmeister B.
        • Kennedy D.
        Preservation of form and function in management of head and neck skin cancer.
        World J Surg. 2003; 27: 868-874
        • Wax M.K.
        • Burkey B.B.
        • Bascom D.
        • et al.
        The role of free tissue transfer in the reconstruction of massive neglected skin cancers of the head and neck.
        Arch Facial Plast Surg. 2003; 5: 479-482
        • Gonzalez-Ulloa M.
        • Castillo A.
        • Stevens E.
        • et al.
        Preliminary study of the total restoration of the facial skin.
        Plast Reconstr Surg. 1954; 13: 151-161
        • Burget G.C.
        • Menick F.J.
        The subunit principle in nasal reconstruction.
        Plast Reconstr Surg. 1985; 76: 239-247
        • Burget G.C.
        Aesthetic restoration of the nose.
        Clin Plast Surg. 1985; 12: 463-480
        • Rohrich R.J.
        • Griffin J.R.
        • Ansari M.
        • et al.
        Nasal reconstruction-beyond aesthetic subunits: A 15-year review of 1334 cases.
        Plast Reconstr Surg. 2005; 114: 1405-1416
        • Kaufman A.J.
        Adjacent-tissue skin grafts for reconstruction.
        Dermatol Surg. 2004; 30: 1349-1353
        • Shumrick K.A.
        • Campbell A.
        • Becker F.
        Nasal reconstruction in the elderly patient: the case for not letting age determine method.
        Arch Facial Plast Surg. 1999; 1: 297-301
        • Gladstone H.B.
        • Stewart D.
        An algorithm for the reconstruction of complex facial defects.
        Skin Ther Lett. 2007; 12: 6-9
        • Kinsella J.B.
        • Rassekh C.H.
        • Wassmuth Z.D.
        • et al.
        Smoking increases facial skin flap complications.
        Ann Otol Rhinol Laryngol. 1999; 108: 139-142
        • Bull R.
        • Rumsey N.
        Social Psychology of Facial Appearance.
        Springer, New York1988
        • Rankin M.
        • Borah G.L.
        Perceived functional impact of abnormal facial appearance.
        Plast Reconstr Surg. 2003; 111: 2140-2146
        • Moolenburgh S.E.
        • Mureau M.A.M.
        • Versnel S.L.
        • et al.
        The impact of nasal reconstruction following tumour resection on psychosocial functioning, a clinical-empirical exploration.
        Psychooncology. 2009; 18: 747-752
        • De Boer M.F.
        • McCormick L.K.
        • Pryun J.F.
        • et al.
        Physical and psychological correlates of head and neck cancer: a review of the literature.
        Otol Head Neck Surg. 1999; 120: 427-436
        • Moolenburgh S.E.
        • Mureau M.A.M.
        • Hofer S.O.P.
        Aesthetic outcome after nasal reconstruction: patient versus panel perception.
        J Plast Reconstr Aesthet Surg. 2008; 61: 1459-1464
        • Chu E.A.
        • Byrne P.J.
        Local flaps. I. Bilobed, rhombic and cervical.
        Facial Plast Surg Clin North Am. 2009; 17: 349-360
        • Baker S.R.
        Local Flaps in Facial Reconstruction.
        in: Chapter 20: Reconstruction of the Cheek. Elsevier, Philadelphia2007: 525-556
        • Cook T.A.
        • Davis R.E.
        Cheek reconstruction.
        Oper Tech Otol Head Neck Surg. 1993; 4: 31-36
        • Robinson J.K.
        Segmental reconstruction of the face.
        Dermatol Surg. 2004; 30: 67-74
        • Baker S.R.
        Local Flaps in Facial Reconstruction.
        in: Chapter 21: Reconstruction of the Forehead. Elsevier, Philadelphia2007: 557-580
        • Cupp C.L.
        • Larrabe W.F.
        Reconstruction of the forehead and scalp. 4.
        Operative Tech Otol Head Neck Surg. 1993; 4: 11-17
        • Garcia del Campo J.A.
        • Garcia de Marcos J.A.
        • del Castillo Pardo de Vera J.L.
        • et al.
        Local flap reconstruction of large scalp defects.
        Med Oral Patol Oral Cir Bucal. 2008; 13: 666-670
        • Cupp C.L.
        • Larrabe W.F.
        Reconstruction of the lips.
        Oper Tech Otol Head Neck Surg. 1993; 4: 46-53
        • Calhoun K.H.
        Reconstruction of small and medium-sized defects of the lower lip.
        Am J Otol. 1992; 13: 16-22
        • Ishii L.E.
        • Byrne P.J.
        Lip reconstruction.
        Facial Plast Surg Clin North Am. 2003; 17: 445-453
        • Mathijssen I.M.
        • van der Meulen J.C.
        Guidelines for reconstruction of the eyelids and canthal regions.
        Journal Plast Reconstr Aesth Surg. 2010; 63: 1420-1433
        • Dickie W.R.
        • Slater R.M.
        Eyelid defects.
        Br J Plast Surg. 1968; 21: 188-192
        • Morley A.M.
        • deSousa J.L.
        • Selva D.
        • et al.
        Techniques in upper eyelid reconstruction.
        Surv Ophthalmol. 2010; 55: 256-271
        • Zitelli J.A.
        Wound healing by secondary intention.
        J Am Acad Dermatol. 1983; 9: 407
        • Antia N.H.
        • Buch V.I.
        Chondrocutaneous advancement flap for the marginal defect of the ear.
        Plast Reconstr Surg. 1967; 39: 472-477
        • Cheney M.L.
        • Hadlock T.S.
        • Quatela V.C.
        Reconstruction of the Auricle.
        in: Local Flaps in Facial Plastic Reconstruction. (ed 2). Elsevier Inc, New York2007: 581-624