Large Basal Cell Carcinoma Defect Closure on The Lateral Cheek Using Multiple Advancement Flaps

Large Basal Cell Carcinoma Defect Closure on The Lateral Cheek Using Multiple Advancement Flaps

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Dr.Siswanto Wahab
Dr. Khairuddin Djawad


Basal cell carcinoma (BCC) is the most common type of nonmelanoma skin cancer (NMSC). It
grows slowly and very rarely metastasizes but can cause substantial morbidity due to its tendency
to relapse and locally invasive nature, especially when located on the face. Excision surgery is
still the gold standard treatment for primary BCC and is usually followed by reconstruction
procedure. Skin flap techniques vary widely, one of which is flap advancement technique. The
main benefit of flap advancement technique is the ability to hide the excision line, thus resulting
in an aesthetically sound outcome. We report a case of 72-year-old female with hyperpigmented
plaque brownish lump on the left lateral cheek. A diagnosis of igmented basal cell carcinoma
had been confirmed through histopathological examination. The patient was treated with wide
excision surgery and the defectwas closed by multiple advancement flaps. Follow-up after three
months showed excellent cosmetic and functional outcome.


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