Ge Norman N, McGuire John F, Dyson Senait, Chark Davin
Department of Otolaryngology, Head and Neck Surgery, University of California, Irvine, CA 92618, USA.
Am J Otolaryngol. 2009 May-Jun;30(3):181-92. doi: 10.1016/j.amjoto.2008.03.003. Epub 2008 Jul 22.
Surgical treatment of non-melanoma skin cancers (NMSC) is most often straight forward and can be performed as an office-based procedure by non-surgically trained professionals. However, the cases that present to an Otolaryngology practice typically will involve difficult-to-treat lesions around the face and lesions that necessitate an in depth knowledge of how to balance the need for adequate surgical margins with the reconstructive contraints imposed by aesthetic subunits of the face. This article discusses modern concepts of surgical margins for NMSC, including the Moh's micrographic surgical technique, and then reviews the most common reconstructive strategies for difficult-to-treat areas on the face. The goal of this paper is to help the general Otolaryngollogists to understand the basic principles of surgical resection and reconstruction of NMSC lesions on the face.
非黑色素瘤皮肤癌（NMSC）的外科治疗通常较为简单，非外科专业培训的人员也可在门诊进行操作。然而，耳鼻喉科临床中遇到的病例通常涉及面部难以治疗的病变，以及需要深入了解如何在满足足够手术切缘需求与面部美学亚单位重建限制之间取得平衡的病变。本文讨论了NMSC手术切缘的现代概念，包括莫氏显微外科技术，然后回顾了面部难治性区域最常见的重建策略。本文的目的是帮助普通耳鼻喉科医生理解面部NMSC病变手术切除和重建的基本原则。
