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GMS Current Posters in Otorhinolaryngology - Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery (DGHNOKHC)

ISSN 1865-1038

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W-plasty in reconstructing post-excision defects of T2 facial skin tumors

Poster Plastische Chirurgie

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GMS Curr Posters Otorhinolaryngol Head Neck Surg 2015;11:Doc362

doi: 10.3205/cpo001327, urn:nbn:de:0183-cpo0013276

Published: April 16, 2015

© 2015 Bardanis.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Abstract

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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