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A multidisciplinary approach to the successful management of Gorlin syndrome.
Mello, Ryan N; Khan, Zaki; Choudry, Umar.
Afiliação
  • Mello RN; Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Minnesota Medical Center, Minneapolis, MN, USA.
  • Khan Z; Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Minnesota Medical Center, Minneapolis, MN, USA.
  • Choudry U; Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Minnesota Medical Center, Minneapolis, MN, USA.
J Surg Case Rep ; 2017(6): rjw224, 2017 Jun.
Article em En | MEDLINE | ID: mdl-28616153
ABSTRACT
Gorlin-Goltz syndrome (GGS) is a rare genetic syndrome with variable expressivity and autosomal dominant inheritance. The major features of GGS include numerous basal cell carcinomas (BCCs), keratocysts of the jaw, palmar/plantar pits and calcification of the falx cerebri. Authors report the case of a 51-year-old male with a 19-year history of GGS and multiple BCCs of the head and neck. He presented with a large ulcerating lesion on the right side of his face involving cutaneous, subcutaneous and muscular tissues of the temporal and orbital region. Additionally, magnetic resonance imaging revealed involvement of the right zygomatic bone, infratemporal fossa and mandible. This case is notable in that BCC invasion of the facial bones is rare. Extensive resection and reconstruction with a latissimus dorsi microvascular free muscle flap was performed. The success of this challenging case exemplifies the need for a multidisciplinary team that included dermatology, plastic surgery, oculoplastics and otolaryngology.

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Ano de publicação: 2017 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Ano de publicação: 2017 Tipo de documento: Article