RESUMO
Squamous cell carcinoma of the lower lip is frequent, and radical excision sometimes leads to complex defects. Many lip repair techniques are aggressive requiring general anesthesia and a prolonged post-operative period. The nasolabial flap, while a common flap for the repair of other facial defects, is an under-recognized option for the reconstruction of the lower lip. We describe the use of nasolabial flap for the repair of a large defect of the lower lip in a ninety year-old male, with good functional results and acceptable cosmetic outcome. We believe the nasolabial flap is a good alternative for intermediate-to-large lower lip defects in patients with impaired general condition.
.Assuntos
Idoso de 80 Anos ou mais , Humanos , Masculino , Carcinoma de Células Escamosas/cirurgia , Neoplasias Labiais/cirurgia , Lábio/cirurgia , Retalhos Cirúrgicos/cirurgia , Procedimentos Cirúrgicos Dermatológicos/métodos , Nariz/cirurgia , Resultado do TratamentoRESUMO
Local flaps are the standard procedure to reconstruct facial defects. As it occurs in any surgical procedure, the incision should be planned so that scars are located in the minimum skin tension lines. We report two cases of O to Z flaps in the supra and infraciliary regions. One of them is a hatchet flap.
Assuntos
Humanos , Masculino , Feminino , Adulto , Idoso , Retalhos Cirúrgicos , Neoplasias Faciais/cirurgia , Carcinoma/cirurgia , Nevo Sebáceo de Jadassohn/cirurgia , Procedimentos Cirúrgicos Dermatológicos/métodos , Resultado do Tratamento , Face/cirurgiaRESUMO
The surgical approach to lentigo maligna is a challenge to dermatologists, given the difficulty of clinical delimitation of borders. We report here a case of a 69-year-old female patient presenting with brownish macules on her face, since 10 years ago, with histopathological diagnosis of lentigo maligna. The surgical management employed was excision of visible borders with the contoured technique and immediate submission of these borders for histopathological analysis before complete excision of the tumor. This technique is a variant of staged excision, with lower rates of recurrence and acceptable aesthetic results.