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Surgical Treatment and Reconstruction of Nonmelanoma Facial Skin Cancers

Rogers-Vizena, Carolyn R. M.D.; Lalonde, Donald H. M.D.; Menick, Frederick J. M.D.; Bentz, Michael L. M.D.

Plastic and Reconstructive Surgery: May 2015 - Volume 135 - Issue 5 - p 895e–908e
doi: 10.1097/PRS.0000000000001146
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Learning Objectives: After reading this article, the participant should be able to: (1) Identify the appropriate resection margins for common types of nonmelanoma skin cancer. (2) Discuss indications for secondary intention healing, skin grafting, and local flaps for reconstruction of facial skin cancer defects. (3) Describe at least one local flap for reconstruction of scalp, forehead, temple/cheek, periocular, nose, and lips.

Summary: Current evidence for diagnosis and surgical treatment of nonmelanoma facial skin cancers is reviewed. In addition, reconstructive options for facial defects are discussed by anatomic location.

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Madison, Wis.; Boston, Mass.; Tucson, Ariz.; and Halifax, Nova Scotia, Canada

From University of Wisconsin Hospital and Clinics; Boston Children’s Hospital; St. Joseph Hospital; and Dalhousie University.

Received for publication November 6, 2013; accepted March 26, 2014.

Disclosure: The authors have no financial interest to declare in relation to the content of this article.

Related Video content is available for this article. The videos can be found under the “Related Videos” section of the full-text article, or, for Ovid users, using the URL citations published in the article.

Michael L. Bentz, M.D., 600 Highland Avenue, G5/361 CSC, Madison, Wis. 53792-7375,

©2015American Society of Plastic Surgeons