Abstract
Non-melanoma skin cancer (NMSC) is the most common form of cancer worldwide. In 2008, approximately 430,000 cases of NMSC were diagnosed in Australia; of these, 296,000 were basal cell carcinoma (BCC) and 138,000 were squamous cell carcinoma (SCC) [1, 2]. Whereas many treatment options exist, the mainstay of management is surgical excision with adequate margins, followed by reconstruction. The functional and aesthetic consequences of surgery of the face, more than that of any other part of the body, can be dramatic. Therefore, the reconstructive surgeon must apply a thorough and thoughtful approach to the repair of facial defects. While a full analysis of the topic is outside the scope of this chapter, an overview of the general concepts and techniques used to address the various subunits of the face are discussed.
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References
Australian Institute of Health and Welfare and Australasian Association of Cancer Registries. Cancer in Australia: an overview, 2008. Cat. no. CAN 32. Canberra: AIHW; 2008.
Australian Institute of Health and Welfare and Cancer Australia. Non-melanoma skin cancer: General practice consultations, hospitalization and mortality. Cancer series no. 43. Cat. no. 39. Canberra: AIHW; 2008.
Raposio E, Santi P, Nordstrom RE. Effects of galeotomies on scalp flaps. Ann Plast Surg. 1998;41:17–21.
Ahuja RB. Geometric consideration in the design of rotational flaps in the scalp and forehead region. Plast Reconstr Surg. 1988;81:900–6.
Terkonda RP, Sykes JM. Concepts in scalp and forehead reconstruction. Otolaryngol Clin N Am. 1997;30:519–39.
Beasley NJ, Gilbert RW, Gullane PJ, et al. Scalp and forehead reconstruction using free revascularized tissue transfer. Arch Facial Plast Surg. 2004;6:16–20.
Ch’ng S, Clark JR. The scapular angle adds versatility to the latissimus dorsi free flap in complicated scalp reconstruction. J Plast Reconstr Aesthet Surg. 2011;64:e248–9.
Konior RJ, Kridel RWH. Tissue expansion in scalp surgery. Fac Plast Surg Clin N Am. 1994;2:203.
Baker SR, Swanson NA. Clinical applications of tissue expansion in head and neck surgery. Laryngoscope. 1990;10:313–9.
Cook TA, Israel JM, Wang TD, et al. Cervical rotation flaps for midface resurfacing. Arch Otolaryngol Head Neck Surg. 1991;117:77–82.
Ch’ng S, Ashford BG, Gao K, et al. Reconstruction of post-radical parotidectomy defects. Plast Reconstr Surg. 2012;129:275e–87e.
Pribaz JJ, Meara JG, Wright S, et al. Lip and vermilion reconstruction with the facial artery musculomucosal flap. Plast Reconstr Surg. 2000;105:864–72.
Burget GC, Menick FJ. Aesthetic restoration of one-half the upper lip. Plast Reconstr Surg. 1986;78:583–93.
Webster RC, Coffey RJ, Kelleher RE. Total and partial reconstruction of the lower lip with innervated muscle-bearing flaps. Plast Reconstr Surg. 1960;25:360–71.
Carroll CM, Pathak I, Irish J, et al. Reconstruction of total lower lip and chin defects using the composite radial forearm-palmaris longus tendon free flap. Arch Facial Plast Surg. 2000;2:53–6.
Fujimori R. ‘Gate flap’ for the total reconstruction of the lower lip. Br J Plast Surg. 1980;33:340–5.
Chang KP, Lai CS, Tsai CC, et al. Total upper lip reconstruction with a free temporal scalp flap: long term follow up. Head Neck. 2003;25:602–5.
Robotti E, Righi B, Carminati M, et al. Oral commissure reconstruction with orbicularis oris elastic musculomucosal flaps. J Plast Reconstr Aesthet Surg. 2010;63:431–9.
Goldstein MH. The elastic flap for lip repair. Plast Reconstr Surg. 1990;85:446–52.
Zide BM. Anatomy of the eyelids. Clin Plast Surg. 1981;8:623–34.
Baker S. Local flaps in facial reconstruction. 2nd ed. Philadelphia: Elsevier Inc; 2007.
Tenzel RR, Stewart WB. Eyelid reconstruction by the semicircular flap technique. Ophthalmology. 1978;85:1164–9.
Hughes WL. A new method for rebuilding a lower lid. Arch Ophthalmol. 1937;17:1008.
Uchinuma E, Sakurai H, Shioya N. Anterofrontal superficial temporal artery island flap for full-thickness eyelid reconstruction. Ann Plast Surg. 1989;23:433–6.
Cutler NL, Beard C. A method for partial and total upper lid reconstruction. Am J Ophthalmol. 1955;39:1–7.
Burget GC, Menick FJ. The subunit principle for nasal reconstruction. Plast Reconstr Surg. 1985;76:239–47.
Burget GC, Menick FJ. Nasal support and lining: the marriage of beauty and blood supply. Plast Reconstr Surg. 1989;84:189–202.
Fliss DM, Freeman JL. The nasal glabellar flap. J Otolaryngol. 1994;23:6–7.
Ebrahimi A, Nejadsarvari N, Koushki ES. Application of modified rintalaflap in nasal tip reconstruction. Am J Otolaryngol. 2012;33:685–8.
Washio H. Retroauricular-temporal flap. Plast Reconstr Surg. 1969;43:162–6.
Parkhouse N, Evans D. Reconstruction of the ala of the nose using a composite free flap from the pinna. Br J Plast Surg. 1985;38:306–13.
Menick FJ. A 10-year experience in nasal reconstruction with the three-stage forehead flap. Plast Reconstr Surg. 2002;109:1839–55.
Zitelli JA. The bilobed flap for nasal reconstruction. Arch Dermatol. 1989;125:957–9.
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© 2015 Faruque Riffat, Carsten E. Palme, Michael Veness, Rehan Kazi, Raghav C. Dwivedi
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Alexander, A.J., Gore, S.M., Clark, J. (2015). Reconstructive Options for the Face. In: Riffat, F., Palme, C., Veness, M. (eds) Non-melanoma Skin Cancer of the Head and Neck. Head and Neck Cancer Clinics. Springer, New Delhi. https://doi.org/10.1007/978-81-322-2497-6_11
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DOI: https://doi.org/10.1007/978-81-322-2497-6_11
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