Texier M, Préaux J
Presse Med. 1991 Nov 2;20(35):1728-32.
The surgical treatment of basal cell epithelioma proceeds in two stages: excision which must result in eradication and therefore complete cure of the lesion, and repair which, on the face, must not only cover the loss of substance but also take into account cosmetic considerations. Repair may consist of: simple suture after adjustment of the surrounding skin provided it has enough laxity; skin graft preferably using whole-thickness skin taken in the pre- or retro-auricular or supraclavicular regions; regional autoplasty with sometimes a skin island flap, and finally distant flap or free cutaneous or musculocutaneous transplant.
切除，这必须确保根除病变从而实现完全治愈；修复，在面部，修复不仅要填补组织缺损，还必须考虑美观因素。修复方式可包括：若周围皮肤有足够的松弛度，调整后进行简单缝合；皮肤移植，最好使用取自耳前或耳后或锁骨上区域的全层皮肤；有时采用带皮岛皮瓣的局部自体成形术，最后是远位皮瓣或游离皮片或肌皮移植。
