Paradigm change in the treatment of non-melanoma skin cancer of the auricle: reconstruction with full thickness skin grafting instead of wedge excision

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• 作者：J. F. Petersen ; P. A. Borggreven…
• 关键词：Non ; melanoma skin cancer ; Full thickness skin graft ; Wedge excision ; Auricle ; Reconstruction ; Squamous cell carcinoma
• 刊名：European Archives of Oto-Rhino-Laryngology
• 出版年：2015
• 出版时间：July 2015
• 年：2015
• 卷：272
• 期：7
• 页码：1743-1748
• 全文大小：921 KB
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• 作者单位：J. F. Petersen (1)
  P. A. Borggreven (2)
  V. C. M. Koot (3)
  M. J. A. M. Tegelberg (3)
  P. J. F. M. Lohuis (1) (2)
  
  1. Department of Surgical Oncology, The Netherlands Cancer Institute/Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands
  2. Department of Otolaryngology Head and Neck Surgery, Center for Facial Plastic Reconstructive Surgery, Diakonessenhuis, Utrecht/Zeist, The Netherlands
  3. Department of Dermatology, Diakonessenhuis, Utrecht/Zeist/Doorn, The Netherlands
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Otorhinolaryngology
  Neurosurgery
  Head and Neck Surgery
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1434-4726

文摘

Non-melanoma skin cancer (NMSC) has become an epidemic disease and is predominantly located in the head and neck area. While historically auricular NMSCs are treated by means of a wedge excision, we describe a more elegant technique with excellent esthetical results. We conducted a retrospective cohort study of 43 consecutive patients with NMSC of the auricle who underwent reconstruction with a full thickness skin graft (FTSG). All grafts survived. Two patients (5?%) showed crust formation, but fully recovered. One patient had an irradical resection for which he required a limited re-excision. All patients showed excellent esthetical results. When treating NMSC of the auricle, reconstruction with a FTSG demonstrates several important advantages. It is a relatively simple but oncological safe technique; it leads to excellent esthetical and functional outcomes, and shows high patient and surgeon satisfaction.