Mid-cheek reconstruction flap for basal cell carcinoma resection defect. A case report

Basal cell carcinoma (BCC) is the most prevalent malignancy in the world,
particularly among people with fair skin. These cancers, along with squamous
cell carcinoma (SCC), are classified as non-melanoma skin cancers (NMSC),
with 18 to 20 times the incidence of melanoma. 80% of non-melanoma skin
cancer (NMSC) is BCC and 20% is SCC. Incidence rates of basal cell
carcinomas (BCCs) have increased by 3–10% per year annually over the
past decade, and this trend is expected to continue due to increased life
expectancy and ultraviolet radiation exposure. Sun exposure plays a role in
the development and transformation of basal cell carcinoma (BCC). As
expected, patients with light skin phenotypes, such as those with blue eyes,
red hair, and freckling, as well as those whose occupation or leisure activities
result in intense and prolonged sun exposure, are especially susceptible. The
progression of BCC can result in the devastation and disfigurement of nearby
tissues. About 85–90% of BCC cases occur on the cranium, significantly
altering the facial appearance of the patient. BCCs are still primarily treated
surgically. It can be difficult to remove massive facial tumors with an
appropriate margin while preserving function and aesthetics. In addition,
complex reconstruction techniques, such as free flaps or multiple local flaps,
are required