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Reconstructive considerations after resection of malignant melanoma in the head and neck.

Authors
  • Sekido, Mitsuru
  • Yamamoto, Yuhei
  • Tsutsumida, Arata
  • Yoshida, Tetsunori
  • Minakawa, Hidehiko
  • Nohira, Kunihiko
  • Shintomi, Yoshihisa
  • Sugihara, Tsuneki
Type
Published Article
Journal
Scandinavian journal of plastic and reconstructive surgery and hand surgery / Nordisk plastikkirurgisk forening [and] Nordisk klubb for handkirurgi
Publication Date
Jan 01, 2005
Volume
39
Issue
4
Pages
222–226
Identifiers
PMID: 16208785
Source
Medline
License
Unknown

Abstract

Little has been written about reconstructive methods after resection of melanomas in the head and neck region. We investigated reconstructive methods retrospectively related to the site and size of the melanomas resected by examining the medical records of 28 patients who had malignant melanomas of the head and neck resected at our hospital from 1984 to 2001. The tumour distribution was 12 in the cheek, 6 in the conjunctiva, 2 in the upper lip, 2 in the lower lip, one each in the lower eyelid, eyebrow, scalp, nose, and auricle. Reconstructive methods were 18 skin grafts, seven local flaps, and three free flaps. Three patients who had skin grafts required secondary reconstruction using free flaps. No local recurrences were observed. Reconstructions with local flaps give better aesthetical and functional results than free flaps and skin grafts. Immediate reconstruction with a flap is safe and it does not affect observation of local recurrences.

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