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Facial Reconstruction for Radiation-Induced Skin Cancer
William R. Panje, MD;
Thomas J. Dobleman, MD
Arch Otolaryngol Head Neck Surg. 1990;116(4):470-474.
Abstract
Radiation-induced skin cancers can be difficult to diagnose and treat. Typically, a patient who has received orthovoltage radiotherapy for disorders such as acne, eczema, tinea capitis, skin tuberculosis, and skin cancer can expect that aggressive skin cancers and chronic radiodermatitis may develop subsequently. Cryptic facial cancers can lead to metastases and death. Prophylactic wide-field excision of previously irradiated facial skin that has been subject to multiple recurrent skin cancers is suggested as a method of deterring future cutaneous malignancy and metastases. The use of tissue expanders and full-thickness skin grafts offers an expedient and successful method of subsequent reconstruction.
(Arch Otolaryngol Head Neck Surg. 1990;116:470-474)
Author Affiliations
From the Department of Otolaryngology-Head Neck Surgery, Pritzker School of Medicine, University of Chicago (Ill).
Footnotes
Accepted for publication September 19, 1989.
Presented in part at the meeting of the American Society of Head and Neck Surgery, San Francisco, Calif, April 5, 1989.
Reprint requests to Department of Otolaryngology-Head Neck Surgery, University of Chicago Medical Center, 5841 S Maryland Ave, Box 412, Chicago, IL 60637 (Dr Panje).
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