COMPLEX FACIAL RECONSTRUCTION USING LOCAL ANESTHESIA – CASE PRESENTATION

Abstract

Basal cell carcinoma occupies a leading place among cutaneous neoplasms, exposure to solar radiation being the main incriminating factor în the occurrence of this type of cancer. The present paper presents a complex case of facial reconstruction using local anesthesia, performed în order to cover the defect remaining after the excision of a basal cell carcinoma located at the level of the infraorbital region. The tumor excision, the dissection of the cheek flap and its rotation to cover the defect were performed after the infiltration of the anesthetic solution at the level of the right hemiface, so that during the entire operation the patient was aware, constantly communicating with the surgical team. Without a doubt the early identification of this condition and the rapid establishment of the surgical treatment can be associated with a favorable prognosis. The photographs taken 12 months after the surgical intervention show that this type of intervention is associated with favorable aesthetic results under the conditions of eliminating the risks associated with general anesthesia.

Keywords

• facial reconstruction
• local anesthesia
• basal cell carcinoma