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A RARE CASE OF BASOSQUAMOUS CELL CARCINOMA OF THE LATERAL TEMPLE WITH RECONSTRUCTION OF DEFECT VIA COMBINED CERVICOFACIAL AND CONTRALATERAL SUBGALEAL SLIDING FLAP IN VICENTE SOTTO MEMORIAL MEDICAL CENTER
DEP. OF OTORHINOLARYNGOLOGY HEAD AND NECK SURGERY, VICENTE SOTTO MEMORIAL MEDICAL CENTER
MANUEL III AVILA MONTEJO, MANUEL A. MONTEJO III
This is a case of a 59 year old Male, Filipino, Married, from Cebu City, Cebu, who came in at the emergency department with a chief complaint of a neglected, non-healing, disfiguring, ulcerating wound in the right lateral temple. A wedge biopsy revealed Basosquamouscell Carcinoma, a rare cutaneous, non-melanoma carcinoma. This cutaneous malignancy falls in between the spectrum of the locally aggressive Basal Cell Carcinoma and possess the metastatic potential of the Squamous Cell Carcinoma. Despite the absence of an established protocol in dealing with this malignancy, due to the rarity of the disease, surgical excision is still suggested by most authors which was done in this case. Moh¡¯s Micrographic surgery offers a lesser recurrence rate however due to its unavailability a wide excision with frozen section was instead used. A 1cm surgical margin from the tumor base was utilized in the excision resulting to a massive cutaneous defect but without bony nor deep tissue involvement thereby needing a reconstruction. The defect spanned up to the lateral canthus hence a full thickness skin graft was used to reconstruct together with the Ophthalmology department. The versatility of the cervicofacial flap was utilized with the patients laxed skin and advancing it superiorly to cover the inferior aspect of the defect while the contralateral subgaleal flap covered the defect of the superior aspect of the defect. The patient successfully underwent Wide Excision with Frozen Section with Coverage of Defect via Combined Cervicofacial Flap and Contralateral Subgaleal Flap, and Reconstruction of Lateral Canthus with Full Thickness Skin Graft. Succeeding post operative course of the patient was unremarkable.


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