Face and neck tumors

The head and neck region is the most common localization of malignant skin tumors. Among the malignant tumors prevail the so-called non-melanoma tumors (basal cell carcinoma and squamous cell carcinoma) and melanoma. Surgery is the dominant mode of treatment with the highest rate of healing.

By excision surgery, a tumor is removed with an adequate edge of healthy tissue whose required thickness varies depending on the type of the tumor. Since the head and neck region consists of a large number of aesthetic units, it is important to respect them during surgical treatment, so as not to distort the appearance and function. There are numerous possibilities of reconstruction of the defect caused by excision of the tumor.

The main goal of the surgical treatment is to remove the tumor in its entirety (pathohistological negative edge) and adequate reconstruction of the new defect, both in aesthetic and in a functional sense.
The basic principle in the reconstruction is based on the so-called reconstructive ladders (Table 4), according to which tissue defect tends to be reconstructed with the simplest surgical technique, and if that is not possible, we proceed to the next, somewhat more complex method.

Of course there are exceptions here, primarily in the head and neck region, where in most cases are used more complex techniques to achieve the best aesthetic and functional result.

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PhD Milica Čelebić

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