Extensive facial malignancies--concepts and management.

A small number of malignant facial neoplasms recur or persist despite initial adequate local conventional therapy. Ten such cases treated by the author over a three year period demonstrate the aggressiveness of skin tumors when recurrence develops in the region of fusion lines. A major surgical resection was required to control the ensuing malignant process. An approach, with concepts and management of extensive recurrent facial lesions is presented with reconstructive techniques outlined.