Complex Scalp and Calvarium Defects After Giant Basal Cell Carcinoma Excision: Management, Challanges, Outcomes

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dc.contributor.authorOzcan, Utku
dc.contributor.authorAkyurek, Mustafa
dc.contributor.authorArslan, Emrah
dc.date.accessioned2025-01-27T20:23:11Z
dc.date.available2025-01-27T20:23:11Z
dc.date.issued2018
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractGiant basal cell carcinoma (GBCC) is defined as a tumor >= 5 cm in diameter. GBCC of scalp usually requires extended resection of soft tissues, calvarium, and dura. In this study, we present 5 patients with GBCC of head, who underwent a single-stage combined scalp, calvarium, and dural reconstruction. Herein, we aim to discuss reconstruction methods, cerebrospinal fluid (CSF) leakage, duration of hospital stay, and tumor recurrency. Peroperative and postoperative follow-ups, defect areas, and performed calvarium reconstruction methods of 5 patients, who underwent complex scalp and calvarium reconstruction after GBCC between year 2010 and 2017, were retrospectively maintained. We studied reconstruction methods, CSF leakage, duration of hospital stay, and tumor recurrency. All patients undergone single-stage reconstruction. Avarge duration of hospital stay was 15 days. Titanium mesh was used in 3 patients and methyl methacrylate was used in 2 patients for calvarium reconstruction. CSF leakage was seen in patients who underwent calvarium reconstruction with titanium mesh. Tumor recurrence occured next to calvarium in 1 patient who undergone calvarium reconstruction with methyl methacrylate. CSF leakage and duration of hospital stay may induce morbidity of this oncoplastic procedure. The fact of longer hospital stay of patients reconstructed with titanium mesh might be a new data presented in this study. These parameters can be related with the method of calvarium reconstruction.
dc.identifier.doi10.1097/SCS.0000000000004477
dc.identifier.endpage1275
dc.identifier.issn1049-2275
dc.identifier.issn1536-3732
dc.identifier.issue5
dc.identifier.pmid29771825
dc.identifier.scopus2-s2.0-85050230373
dc.identifier.scopusqualityQ3
dc.identifier.startpage1273
dc.identifier.urihttps://doi.org/10.1097/SCS.0000000000004477
dc.identifier.urihttps://hdl.handle.net/20.500.12428/22142
dc.identifier.volume29
dc.identifier.wosWOS:000446576600067
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofJournal of Craniofacial Surgery
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectcalvarial reconstruction
dc.subjectcerebrospinal fluid leakage
dc.subjectgiant basal cell carsinoma
dc.subjectmethyl methacrylate
dc.subjecttitanium mesh
dc.titleComplex Scalp and Calvarium Defects After Giant Basal Cell Carcinoma Excision: Management, Challanges, Outcomes
dc.typeArticle

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