비부에 발생한 기저세포암의 모즈 미세도식 수술후 피판술을 이용한 재건 = Reconstruction of the Nose with Local Flap ater Mohs Micrographic Surgery of Basal Cell Carcinoma

다국어 초록 (Multilingual Abstract)

Background: An aggressive skin cancer on the nose, tends to have poorly defined clinical margins, and has a higher recurrence rate. A small tumor on the nose is usually easily treated by any of the standard methods. However, removal and reconstruction with preserved cosmesis is more laborous in a basal cell carcinoma larger than 10 mm in diameter. This is because the nose has complex contoures, unique skin color and texture, and the limited availability of mobile adjacent skin. When available Mohs micrographic surgery is the preferred treatment for these large tumors.
Objective: Our purpose was to investigate the preferred reconstruction method(especially, local flap reconstruction) by the cosmetic unit of the nose after Mohs micrographic surgery.
Methods: From March 1991 to February 1997, twenty-one patients were diagnosed with basal cell carcinoma on the nose at our department. All the tumors were removed with Mohs micrographic surgery, and then the defects were reconstructed with a primary closure, skin graft, and local flap.
Results:
1. Upper two thirds of the nose : Of the sixteen patients which had local flaps, ten were glabella flaps, two were nasolabial flaps, two were primary closures, one was a Banner flap, and one was a full thickness skin graft.
2. Lower one third of the nose : Of the five patients that had local flaps three were nosolabial flap, one was Banner flap, and one was Limberg flap.
Conclusion: Nose skin has a texture and color not easily matched by skin elsewhere. We preferred a local flap to reconstruct the nose because of the high cure rate of basal cell carcinoma after Mohs micrographic surgery.