European Journal of Molecular & Clinical Medicine

The most prevalent cutaneous malignancy in white individuals is BCC, while SCC is the most prevalent among those with darker skin tones, including Indians. The head and neck region is predisposed to BCC. Unlike melanoma, BCC normally does not cause life-threatening disease, although it is locally invasive and can cause significant morbidity and complications. Surprisingly, recurrence in BCC is observed even after complete excision with a clear margin. Therefore, further studies are required for a better understanding of these recurrent cases and to improve the treatment approach.
Methods and Material: This retrospective study was conducted at the Plastic and Reconstructive Surgery department. The study included all patients admitted with BCC of the head and neck region for a period of fiveyears.
Results: A total of 42 patients with BCC lesions of the head and neck region, were identified. There were 24 males and 18 females. The majority of patients were noted in the 50 – 80 age group. Tumours most commonly involved the cheek region. The majority of the examined primary BCCs were nodular clinically. On confirmation by histopathology, most of the lesions were nodular. Multiple recurrences of the disease were observed in one patient.
Conclusions: The clinical and histological pattern of BCC in this area of India is presented in this study. The most likely risk factors in this population are ageing and long-term sun exposure. The primary risk factors of the recurrent disease are the site, histopathologic subtype, and margin status.

Background: Basal cell carcinoma is the most common form of skin cancer and most frequently occurring form of all cancers.it looks like growth with slightly elevated rolled edges or central indentation.lesion commonly arise in sun exposed areas.
Methods: We observed 10 patient who presented with nasal mass  with long standing history. Nasal defects that are too large to repair with other local flaps or full-thickness or composite grafts and defect wider than 2 cm in the horizontal plane or those with exposed and denuded bone and/or cartilage are taken into consideration. Forehead flap reconstruction done with lesser morbidity. Follow up was done till 6 months after flap detachment and inset and results were assessed.
Results: All patients underwent forehead flap reconstruction with good aesthetic outcome                              and lesser morbidity. The flap was viable in all patients with no recurrences. Cosmetic and functional outcomes were good. However few patients developed minor complications like post-operative trismus, severe wound contracture, ectropion and infection and wound dehiscence.
Conclusions: Large defect over nose can be covered with forehead flap with good aesthetic outcomes. It gives ideal quality of color and texture,reduced morbidity and maintained viability,greater versatility in movement and length .