Técnicas quirúrgicas estéticas en pacientes con defectos faciales por carcinoma basocelular / Cosmetic surgical techniques in patients with facial defects due to basal cell carcinoma

Uno de los agentes causales de las alteraciones de las estructuras y partes externas de la cara y el cuero cabelludo es el carcinoma basal o basocelular. Al respecto, los cirujanos maxilofaciales son capaces de reparar y reconstruir aquellas áreas del complejo bucomaxilofacial que se encuentren deformadas o que se han perdido parcial o totalmente; así, en este artículo se describen e ilustran algunas técnicas reparadoras de los defectos quirúrgicos por carcinoma basal, entre ellas: el colgajo bilobulado, el colgajo nasogeniano y una modificación del colgajo de Mustardé, con las cuales se observaron buenos resultados estéticos y funcionales, teniendo en cuenta la localización y extensión de las lesiones.

One of the causative agents of the disorders of structures and external parts of the face and scalp is the basal carcinoma or basal cell carcinoma. In this respect, maxillofacial surgeons are able to repair and reconstruct those areas of the oral maxillofacial complex that are deformed or that have been partially or totally lost; this way, in this work some reparative techniques of the surgical defects due to basal carcinoma are described and illustrated, among them: bilobed flap, nasogenien flap and a modification of the Mustardé flap, with which good cosmetic and functional results were observed, taking into account the localization and extension of the injuries.

Modified technique to fabricate a hollow light-weight facial prosthesis for lateral midfacial defect: a clinical report

Large oro-facial defects result from cancer treatment consequences in serious functional as well as cosmetic deformities. Acceptable cosmetic results usually can be obtained with a facial prosthesis. However, retention of a large facial prosthesis can be challenging because of its size and weight. This article describes prosthetic rehabilitation of a 57-year-old man having a right lateral mid-facial defect with intraoral-extraoral combination prosthesis. A modified technique to fabricate a hollow substructure in heat-polymerizing polymethyl-methacrylate to support silicone facial prosthesis was illustrated. The resultant facial prosthesis was structurally durable and light in weight facilitating the retention with magnets satisfactorily. This technique is advantageous as there is no need to fabricate the whole prosthesis again in case of damage of the silicone layer because the outer silicone layer can be removed and re-packed on the substructure if the gypsum-mold is preserved.