Bailey Jonathan S, Goldwasser Michael S
Department of Surgery, University of Illinois College of Medicine at Urbana-Champaign, IL, USA.
Oral Maxillofac Surg Clin North Am. 2005 May;17(2):205-33, vi. doi: 10.1016/j.coms.2005.02.008.
Surgical excision is the gold standard for management of cutaneous basal cell carcinoma or squamous cell carcinoma. Surgical management of nonmelanotic facial skin cancer requires preoperative planning and an in-depth understanding of reconstructive techniques, including primary closure, skin grafting, and local tissue flaps. The decision regarding the method of treatment of nonmelanotic skin cancer is highly individualized and depends on patient age, cancer size, histologic subtype, and site. No single therapy or technique can be used in every situation. The goals of treatment include complete removal of the lesion with preservation of normal tissue, function, and cosmesis. In this article we discuss the principles and techniques of surgical excision and reconstruction of site-specific facial skin cancers.
手术切除是皮肤基底细胞癌或鳞状细胞癌治疗的金标准。非黑素性面部皮肤癌的手术治疗需要术前规划以及对重建技术的深入理解，包括一期缝合、皮肤移植和局部组织瓣。关于非黑素性皮肤癌治疗方法的决策高度个体化，取决于患者年龄、癌症大小、组织学亚型和部位。没有单一的治疗方法或技术适用于所有情况。治疗目标包括在保留正常组织、功能和美观的同时彻底切除病变。在本文中，我们将讨论特定部位面部皮肤癌的手术切除和重建的原则与技术。
