Exeresis<br/>and reconstruction

Exeresis and reconstruction

General


Skin cancers of the face, head and neck are a common condition and is most often in patients over 50 years. They are mainly related to chronic sun exposure.

There are several types: carcinomas (basal and squamous) and melanoma.

The main treatment for these skin tumors is surgical excision which leaves room for a loss of substance (no skin). Must therefore carry out a reconstruction to cover the missing skin area.


Intervention


The procedure is usually carried ambulatory but in some cases may require a short hospital stay. It can be performed under local anesthesia or neuroleptic or sometimes under general anesthesia.

Surgical treatment of skin cancer consists of 2 steps:

  • A step « oncologic »:

The tumor is removed with precise resection margins (3mm to several cm depending on the type of cancer and according to current recommendations) and is then sent to pathologists and state being considered is whether the tumor was removed completely (negative margins).

  • A step « restorative », specialized:

There are many technical possibilities or repair of a face (flap, graft ...) Repair aims to meet its aesthetics but also preserve its function (breathing, food ...).

 


Postoperative periods


Depending on their location, the scars are covered by the ointment (Vaseline or Vitamin A) or strips.
Sutures will be removed between the 5th and 7th postoperative day.
Possible disadvantages are: localized and eccchymoses edema.

The scars will become increasingly inflammatory (red and indurated) until the 3rd month and then will subside until the 18th postoperative month or the final aesthetic result may be judged.

The scars must be protected from the sun during one year to avoid discoloration (discoloration).


Our opinion


The resection of the lesion is the most important step in the treatment of skin cancers. Indeed, one must be sure that the tumor is completely removed before you can perform a reconstruction « aesthetic » of the missing area using flaps.

The reconstruction of a face is complex. Training in these technical restorative integral part of the specialty « Maxillofacial Surgery ».


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