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Dr. Emad Mahmoud Meghawry Abdelrahman Sarhan :: Publications:

Title:
Cheek advancement flap for nasal reconstruction following surgical excision of basal cell carcinoma; Early out come and patient satisfaction
Authors: Emad M. Abdelrahman,1 Ahmed A. Shoulah,1 Sara O. Ghazal,2 Manal K. Nchoukati,2 M. Ashraf Balbaa3
Year: 2020
Keywords: Basal cell carcinoma, reconstruction, cheek advancement flap.
Journal: Not Available
Volume: Not Available
Issue: Not Available
Pages: Not Available
Publisher: Not Available
Local/International: Local
Paper Link: Not Available
Full paper Emad Mahmoud Meghawry Abdelrahman Sarhan_Paper Deisgn-2.pdf
Supplementary materials Not Available
Abstract:

Background: Many reconstructive techniques have been used for reconstruction of the nose after wide excision of basal cell carcinoma with variable aesthetic outcome. Patient satisfaction is a crucial determinant of the reliability of any reconstructive technique. Aim of this prospective clinical study was to evaluate the cutaneous cheek advancement flap as a reliable method for nasal reconstruction following wide excision of basal cell carcinoma as regards early postoperative complications and patient satisfaction Methodology: The current study included 51 patients with basal cell carcinoma at side of nose who are eligible for wide excision and immediate reconstruction using cutaneous cheek advancement flap. Follow-up was planned for 3 months to report early postoperative complications. Aesthetic outcome was assessed using Likert score and Vancouver’s scar scale. Results: The age of the included patients ranged from (46-63 years). The current study showed wound infection in 3.9 % of patients, seroma occurred in 3 patients while hematomas occurred in 2 patients. No total flap loss was reported while partial flap loss had occurred in 1 case (1.9%). The patients’ overall satisfaction was good and only 2 patients (3.9%) showed poor esthetic outcome. There was a strong positive correlation between patients’ evaluation and independent surgeons’ assessment (r=0.922). Conclusion: According to the current results, cheek advancement flap is feasible and simple method for reconstruction of medium and large sized defects in the sidewall of the nose with minimal postoperative complications and excellent aesthetic outcome.

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