Artikel
W-plasty in reconstructing post-excision defects of T2 facial skin tumors
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Introduction: Facial skin is the most common site of origin of skin cancer. Numerous techniques are in use in the treatment of defects caused by the excision of such tumors. This paper aims at presenting our experience with the use of W-plasty.
Method: The excision of aT2 BCC or SCC of facial skin along with safe margin usually results in a round defect. W-shaped incisions are drawn taking into account the RST-lines of the region. The necessary extra healthy skin is excised. The incisions are meticulously primarily closed. (Photopresentation)
Results: The procedure is less traumatic and less time-consuming than procedures involving flaps. The aesthetic outcome, if the long diagonal is parallel to an RST-line, is by far more acceptable than the one caused by other procedures.
Conclusion: W-plasty, if precisely planned, drawn and executed, is extremely effective in the reconstruction of medium sized defects of the face.
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