1/2. Basal-cell carcinoma of the vermilion border of the upper lip. A case report.Basal-cell carcinoma mostly occurs in patients of advanced age, between the 5th and the 7th decades of life. The lesion is usually located on areas that have exposure to the sun and is extremely rare on the oral mucosa. A case of basal-cell carcinoma on the vermilion border of the upper lip in a 62-year-old-male is described. An excisional biopsy under local anaesthesia was followed by a radical wedge excision of the upper lip.- - - - - - - - - - ranking = 1keywords = anaesthesia (Clic here for more details about this article) |
2/2. Combination of an island advancement flap and a composite graft for reconstruction of the nasolabial defect.BACKGROUND: The alar region is one of the most difficult areas of the face to reconstruct. Up until now, various methods have been demonstrated for achieving the best possible results in terms of cosmetic appearance and function. This report deals with a combination of a random pattern flap and a free composite graft, carried out in two stages. OBJECTIVE: In order to reconstruct the alar region, an island advancement flap as well as a composite graft from the contralateral ear were used. methods: The defect in the cheek-upper lip region was closed using an island advancement flap. In a second operation 2 weeks later, the reconstruction of the alar region was attempted using a composite graft from the right ear. RESULTS: The reconstruction of the contour of the wing of the nose succeeded in a satisfactory manner. There are no functional restrictions on nose breathing. CONCLUSIONS: The combination of an island advancement flap with a composite graft from the ear for the reconstruction of the alar region is essentially a less invasive operation that can be carried out under local anaesthesia and that represents an addition to the previously stated methods.- - - - - - - - - - ranking = 1keywords = anaesthesia (Clic here for more details about this article) |