[Our experience with surgery of non melanoma cutaneous malignancies of head and neck].

OBJECTIVES

To evaluate the cases underwent surgery with the diagnosis of head and neck non melanoma skin malignancies.

PATIENTS AND

METHODS

Clinical records of 89 patients (33 females, 56 males; mean age 65.4 years; ranges 41 to 87 years) who underwent excision and reconstruction with the diagnosis of skin malignancy at ENT clinics of Ege University Hospital between April 2004 and March 2006 and 101 lesions were retrospectively reviewed. The patients who were diagnosed with non melanoma skin malignancy and whose surgical decisions were concluded at the common council of dermatology clinic, ear nose and throat clinic and oral diagnosis clinics were included in the study. In all cases pre- and postoperative pictures of lesions, pathological results and follow-up results were all evaluated.

RESULTS

The 32 of 101 lesions were located at nasal esthetical unit and 15 of these were at alar region subunit. The second most common location was lip with 29 lesions and 24 of them were located at lower lip. The evaluation of flap techniques performed for the reconstruction of excision defect revealed that extending flap was the second common method with 12 cases after primary closure with 23 cases. The pathological results of these lesions were found to be squamous cell carcinomas with 49 lesions and basal cell carcinomas with 41 lesions. In three cases the surgical margins were positive, meaning tumor still remains in normal tissue. Neck dissection was performed in seven patients. There was no patient with recurrent malignant lesion during the follow-up period mean=47.5 months (range 37-57 months).

CONCLUSION

Cutaneous malignancies are the most common malignancy type worldwide. Successful results are available if these lesions are diagnosed early, excised with correct methods and reconstructed with appropriate techniques.