Tags

Type your tag names separated by a space and hit enter

[Facial epitheliomas: general considerations, surgical techniques and indications].
Ann Chir Plast Esthet. 1998 Aug; 43(4):311-64.AC

Abstract

Carcinoma of the face is the skin disease most frequently encountered by plastic surgeons in everyday practice. Although basal cell carcinomas and squamous cell carcinomas are generally easy to recognize, their treatment remains subject to various schools of thought, or even individual practices, which are often difficult to define. This article defines a general plan of management of these tumours; their histological duality corresponds to a therapeutic duality. Resection of a basal cell carcinoma requires safety margins of 3 to 4 mm, versus at least 5 mm for a squamous cell carcinoma. In a high-risk subject, with a sclerodermiform carcinoma or undifferentiated squamous cell carcinoma, this safety margin may be as much as 10 mm or more. Frozen section examination is preferable in these situations. Six anatomical regions are studied selectively to define the main rules of reconstruction: nasal region, orbitopalpebral region, labial region, malar region, frontal region and auricular region. Each region will be subdivided into several subterritories, each requiring different strategies. The objectives, methods and indications of each reconstruction are selectively defined. The final strategy proposed is based not only on the author's personal experience, but also on the results of the national survey on carcinomas. As a complement to these therapeutic guidelines, the authors raise the problem of incomplete resection, which requires the definition of a peripheral infiltration index predictive of the recurrence rate. Surgery obviously cannot constitute exclusive treatment carcinomas, hence the value of presenting other methods currently available in the therapeutic armamentarium. Surveillance is essential in every case, determined by the patient's risk of recurrence or even metastatic dissemination.

Authors+Show Affiliations

Service de Chirurgie Plastique Reconstructrice et Esthétique, Centre Hospitalier Universitaire de Bordeaux, Hôpital du Tondu, France.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
English Abstract
Journal Article
Review

Language

fre

PubMed ID

9926468

Citation

Martin, D, et al. "[Facial Epitheliomas: General Considerations, Surgical Techniques and Indications]." Annales De Chirurgie Plastique Et Esthetique, vol. 43, no. 4, 1998, pp. 311-64.
Martin D, Barthélémy I, Mondie JM, et al. [Facial epitheliomas: general considerations, surgical techniques and indications]. Ann Chir Plast Esthet. 1998;43(4):311-64.
Martin, D., Barthélémy, I., Mondie, J. M., Grangier, Y., Pélissier, P., & Loddé, J. P. (1998). [Facial epitheliomas: general considerations, surgical techniques and indications]. Annales De Chirurgie Plastique Et Esthetique, 43(4), 311-64.
Martin D, et al. [Facial Epitheliomas: General Considerations, Surgical Techniques and Indications]. Ann Chir Plast Esthet. 1998;43(4):311-64. PubMed PMID: 9926468.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Facial epitheliomas: general considerations, surgical techniques and indications]. AU - Martin,D, AU - Barthélémy,I, AU - Mondie,J M, AU - Grangier,Y, AU - Pélissier,P, AU - Loddé,J P, PY - 1999/2/2/pubmed PY - 1999/2/2/medline PY - 1999/2/2/entrez SP - 311 EP - 64 JF - Annales de chirurgie plastique et esthetique JO - Ann Chir Plast Esthet VL - 43 IS - 4 N2 - Carcinoma of the face is the skin disease most frequently encountered by plastic surgeons in everyday practice. Although basal cell carcinomas and squamous cell carcinomas are generally easy to recognize, their treatment remains subject to various schools of thought, or even individual practices, which are often difficult to define. This article defines a general plan of management of these tumours; their histological duality corresponds to a therapeutic duality. Resection of a basal cell carcinoma requires safety margins of 3 to 4 mm, versus at least 5 mm for a squamous cell carcinoma. In a high-risk subject, with a sclerodermiform carcinoma or undifferentiated squamous cell carcinoma, this safety margin may be as much as 10 mm or more. Frozen section examination is preferable in these situations. Six anatomical regions are studied selectively to define the main rules of reconstruction: nasal region, orbitopalpebral region, labial region, malar region, frontal region and auricular region. Each region will be subdivided into several subterritories, each requiring different strategies. The objectives, methods and indications of each reconstruction are selectively defined. The final strategy proposed is based not only on the author's personal experience, but also on the results of the national survey on carcinomas. As a complement to these therapeutic guidelines, the authors raise the problem of incomplete resection, which requires the definition of a peripheral infiltration index predictive of the recurrence rate. Surgery obviously cannot constitute exclusive treatment carcinomas, hence the value of presenting other methods currently available in the therapeutic armamentarium. Surveillance is essential in every case, determined by the patient's risk of recurrence or even metastatic dissemination. SN - 0294-1260 UR - https://www.unboundmedicine.com/medline/citation/9926468/[Facial_epitheliomas:_general_considerations_surgical_techniques_and_indications]_ DB - PRIME DP - Unbound Medicine ER -