Gutiérrez GC, Cárdenas MA, Erazo CC, Mucharraz DMH, Vargas TEE, Morales OC, Medina SS

Language: Spanish
References: 20
Page: 57-60
PDF size: 272.19 Kb.

ABSTRACT

Skin cancer is an increasing pathology and frequent consultation for plastic surgeons. Due to the fact that the head is the most common area for skin tumors because of sun exposure, the auricle has a special place. A retrospective study of skin cancer of 3,000 records in private practice of plastic and reconstructive surgery was carried out, finding 75 malignant lesions, 13 were located in the auricle (17.3%). We analyzed different factors such as age, sex, location in the auricle, resection area, recurrence and type of reconstruction. 91.6% were male, age average: 67 years-old; the histological diagnosis in 66.6% was basal cell carcinoma, and 75% of the lesions were in the anterior of the auricle. The follow up was between 6 months and 12 years, with histological analysis reports tumor free in 12 cases, and no recurrences. The auricle is a delicate structure where incomplete resections are reported in 20.5%. We consider that a wide resection with transurgical biopsy and adequate reconstruction can lead to reduce recurrence.

REFERENCES

1. Su SY, Giorlando F, Ek EW, Dieu T. Incomplete excision of basal cell carcinoma: a prospective trial. Plast Reconstr Surg 2007; 120: 1240-1248.

2. T an PY, Ek E, Su S, Giorlando F, Dieu T. Incomplete excision of squamous cell carcinoma of the skin: A prospective observational study. Plast Reconstr Surg 2007; 120: 910-16.

3. Ajithkumar TV, Parkinson CA, Butler A, Hatcher HM. Management of solid tumors in organ transplant recipients. Lancet Oncol 2007; 8: 921-32.

4. O tley C et al. Skin cancer in organ transplant recipients: Effectof pretransplantend-organ disease. J Am Acad Dermatol 2005; 53: 783-790.

5. Liu LU, Schiano TD . Long-term care of the liver transplant recipient. Clin Liver Dis 2007; 11: 397-416.

6. F utoyan T, Grade D. Postoperative wound infection rates in dermatologic surgery. Dermatol Surg 1995; 21: 509-12.

7. C hang YL et al. Reconstruction of middle third auricular defectbased on aesthetic perception theory. Aesth Plast Surg 1990; 14: 223-5.

8. C hen C, Chen Z. Reconstruction of the concha of the ear using a postauricular island flap. Plast Reconstr Surg 1990; 86: 569-72.

9. C rikelair GF . A method of partial ear reconstruction for avulsion of upper portion of the ear. Plast Reconstr Surg 1956; 17: 438-43.

10. D ieffenbach JF. Die operative chirurgie. Leipzig: FA Brockhau, 1845.

11. Elsahy NI. The use of two bipedicle flaps for reconstruction of auricular skin loss. Egypt J Plast Reconstr Surg1980; 4: 105-12.

12. Humphrey S. The postauricular (revolving door) island pedicle flap revisited. Dermatol Surg 1996; 22: 148-50.

13. Millard DR . The chondrocutaneous flap in partial auricular repair. Plast Reconstr Surg 1966; 37: 523-9.

14. Park C, Chung. A single-stage two-flap method for reconstruction of partial auricular defect. Plast Reconstr Surg 1998; 102: 1175-80.

15. Y oshimura K et al. One stage reconstruction of an upper part defect of the auricle. Aesth Plast Surg 1998; 22: 352-5.

16. G utiérrez GC , Ávila A. Reconstrucción auricular en cáncer de piel. Nueva técnica “Colgajo en Quesadilla”. Rev Med Sur 2007; 14: 108-111.

17. G utiérrez GC , Ávila A, Zepeda C, Cárdenas A. Experiencia en reconstrucción auricular en cáncer de piel en pabellón auricular con colgajo en quesadilla. Cir Plast Iberolatinam 2008; 34: 101-106.

18. Elsahy NI .Ear reconstruction with a flap from the medial surface of the auricle. Ann Plast Surg 1985; 14: 169-75.

19. Siegert R. Surgery of the middle ear. In: Weerda H. Surgery ofthe Auricle. New York: Thieme 2007: pp. 259.

20. R idky T. Non melanoma skin cancer. J Am Acad Dermatol 2007; 57: 484-501.