{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T01:23:18Z","timestamp":1751505798685},"reference-count":8,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2022,4,20]],"date-time":"2022-04-20T00:00:00Z","timestamp":1650412800000},"content-version":"vor","delay-in-days":1754,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2017,7,15]],"date-time":"2017-07-15T00:00:00Z","timestamp":1500076800000},"content-version":"tdm","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["www.e-aps.org"],"crossmark-restriction":true},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:p>\n          Background  Free-flap surgery and skin grafting can be used to reconstruct large facial defects that may result after skin cancer removal by Mohs micrographic surgery (MMS). However, these two methods may produce low postsurgical patient satisfaction with aesthetics, and free-flap surgery may produce an undue burden for the majority of skin cancer patients, who are of advanced age. Hence, the authors examined outcomes of large facial defect reconstruction using multiple flaps.<\/jats:p><jats:p>\n          Methods  Among patients undergoing MMS for skin cancer at Pusan National University Hospital between January 2013 and December 2015, we evaluated 7 patients (2 males, 5 females; average age, 73.14 years) treated for large facial defects from basal cell carcinoma. Based on operative and follow-up records, we investigated the number and type of flaps used, postsurgical complications, and patients\u2019 post-surgical satisfaction.<\/jats:p><jats:p>\n          Results  Two and 3 types of flaps were used for 5 and 2 patients, respectively. Most frequently used were nasolabial flaps (7 times in 6 patients) and forehead flaps (once in each of 4 patients). The average follow-up period was 14 months, with no complications\u2014including necrosis, hematoma, or wound dehiscence\u2014observed. Post-surgical satisfaction averaged 4.4 out of a maximum of 5 points.<\/jats:p><jats:p>\n          Conclusions  Reconstruction using two or more flaps for large facial defects after skin cancer removal using MMS produced satisfactory outcomes while preventing aesthetic problems. Practitioners should consider using multiple flaps when choosing a reconstruction method for large facial defects following skin cancer removal.<\/jats:p>","DOI":"10.5999\/aps.2017.44.4.319","type":"journal-article","created":{"date-parts":[[2017,7,19]],"date-time":"2017-07-19T23:53:33Z","timestamp":1500508413000},"page":"319-323","update-policy":"http:\/\/dx.doi.org\/10.5999\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Reconstruction of Large Facial Defects via Excision of Skin Cancer Using Two or More Regional Flaps"],"prefix":"10.1055","volume":"44","author":[{"given":"Dong Min","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong Chan","family":"Bae","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea"},{"name":"Biomedical Research Institute, Pusan National University Hospital, Busan, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Su Bong","family":"Nam","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seong Hwan","family":"Bae","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"June Seok","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,4,20]]},"reference":[{"key":"ref1","volume-title":"Factors affecting choice of repair in Mohs micrographic surgery for non-melanoma skin cancer of the head","author":"CL Thomas","year":"2016"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"e148","DOI":"10.1097\/GOX.0000000000000107","article-title":"Aesthetic subunit reconstruction facilitated with v-y island advancement flaps on the face: a case report","volume":"02","author":"JE Suarez","year":"2014","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"ref3","first-page":"265","article-title":"Reconstruction of large facial defects after delayed Mohs surgery for skin cancer","volume":"23","author":"U Wollina","year":"2015","journal-title":"Acta Dermatovenerol Croat"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"1060","DOI":"10.1111\/ddg.12360","article-title":"Using the Peng flap for a wide dorsal nasal defect","volume":"12","author":"J Deluca","year":"2014","journal-title":"J Dtsch Dermatol Ges"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"1352","DOI":"10.1016\/j.bjps.2015.05.036","article-title":"Flap or graft: The best of both in nasal ala reconstruction","volume":"68","author":"KJ Lindsay","year":"2015","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"764","DOI":"10.1097\/DSS.0000000000000722","article-title":"The paramidline forehead flap: a clinical and microanatomic study","volume":"42","author":"LE Stigall","year":"2016","journal-title":"Dermatol Surg"},{"key":"ref7","first-page":"133","article-title":"Usefulness of the paramedian forehead flap in nasal reconstructive surgery: a retrospective series of 41 patients","volume":"107","author":"N Blazquez-Sanchez","year":"2016","journal-title":"Actas Dermosifiliogr"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"2057","DOI":"10.1016\/j.jcms.2015.10.015","article-title":"Facial artery perforator flap for reconstruction of perinasal defects: an anatomical study and clinical application","volume":"43","author":"O Camuzard","year":"2015","journal-title":"J Craniomaxillofac Surg"}],"container-title":["Archives of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.e-aps.org\/upload\/pdf\/aps-2017-44-4-319.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.e-aps.org\/journal\/view.php?doi=10.5999\/aps.2017.44.4.319","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.5999\/aps.2017.44.4.319.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,4,20]],"date-time":"2022-04-20T22:43:23Z","timestamp":1650494603000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.5999\/aps.2017.44.4.319"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,7]]},"references-count":8,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2022,4,20]]},"published-print":{"date-parts":[[2017,7]]}},"URL":"https:\/\/doi.org\/10.5999\/aps.2017.44.4.319","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2234-6163","2234-6171"],"issn-type":[{"value":"2234-6163","type":"print"},{"value":"2234-6171","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,7]]},"assertion":[{"value":"2016-11-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-06-27","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-07-15","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-07-15","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}