Poster
# 106
Poster |
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6th Internet World Congress for Biomedical Sciences |
Olatz Alcelay(1), Alejandro Nogueira(2), MŞ Jesús Martínez González(3), Teresa Pérez (4), Angel Perez Arias(5), Francisco Iglesias(6)
(1)(2)(3)(4)(5)(6)Hospital central de Asturias - Oviedo. Spain
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 [Oral & Maxilofacial Surgery] |
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[Plastic Surgery] |
There is no sex predominance, the mean age of appearance are 74 years (graphic1), and some risk factors have been found: UV-radiation 35%, previous carcinoma 15% (graphic 2). Most common localised site are fronto-temporal 20%, nasal 19% and check 18% areas (graphic 3). 15% of patients presented more than one lesion at different areas. All are primary tumours presented over two-years period (graphic 4) and only 2% presented palpable lymph nodes at the moment at diagnosis.
The first surgery is made over 1 month after the diagnosis and some local structures were affected: bone, cartilage, muscle nerves (graphic 5). The surgery includes wide excision with one cm of margin and reconstructive procedure depending the size of the tumour, defect andfacial area (graphic 6) Loco-regional skins flaps are mainly used at lip, nasal and orbital area, skin grafts at fronto-temporal and scalp areas. Only 4% werw treated with radiotherapy after surgery.
The recurrence rate is 16,27% mainly at nasal area over 1 year after surgery (graphic7). The treatment consisted on wide excision, lymph node dissection and reconstruction of the area using mainly loco-regional or free flaps, 29% of the recurrences received radiation postsurgery.graphic7,graphic7,graphic7.
The most common histologic lesion found was basal cell carcinoma localised at nasal and orbital region (graphic 8, 9). The squamous cells were the most recurrent mainly at nasal area (graphic 10).
45% of patients have no sequels, 35% have any aesthetics ones and 3% were exitus.
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[Oral & Maxilofacial Surgery] |
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[Plastic Surgery] |
