Djawad Khairuddin
Department of Dermatology and Venereology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia.
Dermatol Reports. 2023 Jun 5;15(3):9677. doi: 10.4081/dr.2023.9677. eCollection 2023 Sep 12.
Basal cell carcinoma (BCC) is the most common malignancy worldwide. Surgical removal is considered the gold standard treatment. However, large defects following excisional surgery can pose a significant challenge for reconstruction, especially in cases where primary closure is not possible. In these cases, skin flaps may be used. Most traditional skin flaps are limited by design to take advantage of only one region of relative skin excess. This paper reports a case of a large forehead defect following BCC excision that was successfully reconstructed by a modified Hplasty involving a U-plasty and rotation-advancement flap. Maintenance of aesthetics without impaired function is the aim of closure defects with combined flaps.
基底细胞癌（BCC）是全球最常见的恶性肿瘤。手术切除被认为是金标准治疗方法。然而，切除术后的大缺损对重建构成重大挑战，尤其是在无法进行一期缝合的情况下。在这些情况下，可使用皮瓣。大多数传统皮瓣在设计上受到限制，只能利用相对多余皮肤的一个区域。本文报告了1例基底细胞癌切除术后前额大缺损病例，该病例通过一种改良的H成形术成功重建，该改良H成形术包括一个U成形术和旋转推进皮瓣。采用联合皮瓣闭合缺损的目的是在不损害功能的情况下保持美观。
