TY - JOUR
TI - Nonmelanoma skin tumors involving the craniofacial region: Our 22 years
of experience
AU - Papadopoulos, Othon
AU - Konofaos, Petros
AU - Chrisostomidis,
AU - Chrisostomos
AU - Champsas, Grigorios
AU - Frangoulis, Marios and
AU - Karakitsos, Petros
AU - Stratigos, Alexandros
AU - Gogas, Helen and
AU - Katsambas, Andreas
AU - Kostakis, Alkiviadis
JO - Journal of Craniofacial Surgery
PY - 2007
VL - 18
TODO - 5
SP - 1021-1033
PB - Lippincott, Williams & Wilkins
SN - 1049-2275, 1536-3732
TODO - 10.1097/scs.0b013e3180f6112f
TODO - skin tumors involving the craniofacial region; ThinPrep technique;
reconstruction of the scalp and face
TODO - Skin tumors comprise the largest group of malignancies of the head.
Despite the accessibility of such lesions, the treatment of neglected,
far advanced cancers, many of which have extended deeply into the facial
bones and skull, is often required. The key to the cure of malignant
tumors of the head is an accurate diagnosis and evaluation of the
margins of an excised tumor. Reconstructive surgery of the head after
resection of tumors requires a complete understanding of the anatomy of
this region. From January 1986 to December of 2005, 31 patients
underwent reconstructive surgery for nonmelanoma skin tumors involving
the craniofacial region. Preoperative evaluation of the patients was
performed in all cases. The results were estimated from the oncologic
and functional point of view. The reconstruction, which was performed,
included local, regional, and free flaps. In our series, the 5-year
disease-free survival rate was 87%. The primary goal of surgical
treatment of skin tumors with invasion of craniofacial bone structure is
three-dimensional tumor resection with histologically clear margins.
This goal has to be balanced, however, with an acceptable functional and
aesthetic result. Resections are planned according to pathologic
considerations rather than according to the anatomy involved.
ER -