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Trapdoor Deformity Correction Post Nasal Bilobed Flaps for Basal Cell Carcinoma Reconstruction With Multiple Laser Modalities.
Chuang, Chun-Fang; Chang, Chang-Cheng; Huang, Yung-Hsueh; Liao, Che-Chi; Teng, Yu-Tung.
Afiliación
  • Chuang CF; From the Department of Education.
  • Chang CC; Division of Plastic and Reconstructive Surgery, Department of Surgery, China Medical University Hospital, Taichung, Taiwan, ROC.
  • Huang YH; 20SKIN Four Seasons Clinic, Changhua County, Taiwan, ROC.
  • Liao CC; Division of Pathology, Department of Pathology, China Medical University Hospital, Taichung, Taiwan, ROC.
  • Teng YT; From the Department of Education.
Ann Plast Surg ; 92(1S Suppl 1): S75-S78, 2024 Jan 01.
Article en En | MEDLINE | ID: mdl-38286000
ABSTRACT
ABSTRACT In case of excision of nasal basal cell carcinoma (BCC), bilobed flaps are considered the criterion standard of reconstruction for defect less than 15 mm in size. However, there is still a risk of trapdoor deformity formation, of which its treatment is less discussed. A 44-year-old woman who was diagnosed with nasal BCC and underwent tumor excision with bilobed flap reconstruction presented with trapdoor deformity postoperatively. The computed Vancouver Scar Scale was 7. After early intervention of multiple laser modalities, including 2 sessions of 585-nm pulsed dye laser with a fluence of 9 J/cm2, pulse duration of 6 milliseconds, and spot size of 6 mm, 2940-nm Er-yttrium aluminum garnet (YAG) laser with a pulse energy of 800-900 mJ, repetition rate of 8-9 Hz, and laser spot size of 3-7 mm, and 5 sessions of 1064-nm NdYAG fractional picosecond laser with a pulse energy of 2.30-2.70 mJ, repetition rate of 8 Hz, and laser spot size of 6 mm from 5 to 23 weeks postoperatively, the Vancouver Scar Scale score improved to 1, with significant reduction of trapdoor scar erythema and puffiness. Although BCC is often curable, tumor excision causes unsatisfactory appearance satisfaction problem, owing to the apparent location of the lesion. Factors, such as sebaceous tissue thickness, reconstruction over multiple aesthetic subunits of nose, and damage to nasal cartilage framework structure during tumor removal, may increase the risk of trapdoor formation. Early intervention with multiple laser treatment can significantly revise the deformity.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Cutáneas / Carcinoma Basocelular / Láseres de Estado Sólido Límite: Adult / Female / Humans Idioma: En Revista: Ann Plast Surg Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Cutáneas / Carcinoma Basocelular / Láseres de Estado Sólido Límite: Adult / Female / Humans Idioma: En Revista: Ann Plast Surg Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos