RECONSTRUCTION OF CHIN DEFECT POST BASAL CELL CARCINOMA EXCISION USING RHOMBOID FLAP: A CASE REPORT
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Highlights:
- BCC is strongly associated with UV radiation exposure,commonly affecting the face, but the chin is rarely involved (1.2% incidence).
- Chin reconstruction after BCC excision is challenging, requiring careful flap selection for function and aesthetics.
- The rhomboid flap is a preferred choice, offering good blood supply, minimal tension, quick healing, and better cosmetic results.
Abstract:
Introduction: Basal cell carcinoma (BCC) is a malignant skin tumor with the highest incidence and originates from the basal cells of the epidermis, with the nodular type being the most common.
Case Illustration: A 76-year-old female patient came with complaints of a lump on the chin that had enlarged and bled easily for 3 years before entering the hospital. The patient was diagnosed with Basal Cell Carcinoma in the chin region.
Discussion: Wide excision was performed under local anesthesia, then the wound was closed with a rhomboid flap. Evaluation after 1 month post-operatively the wound closed well and the scar was disguised.
Conclusion: The chin is a unique aesthetic area with unique contours and shapes, making it a challenge for plastic surgeons to perform reconstruction after extensive BCC excision. The rhomboid flap is a very versatile local flap because it can be used almost anywhere on the body, including the chin.
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