Journals / Türk Geriatri Dergisi / 2020 / Cilt: 23 - Sayı: 2

APPROACH TO CUTANEOUS LESIONS OF THE HEAD AND NECK IN THE GERIATRIC AGE GROUP: RETROSPECTIVE ANALYSIS OF 170 CASES

Pages
206–215
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The Surgical excision and repair with local flaps in the treatment provide very successful cosmetic results.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Introduction: The incidence of skin lesions increases with advancing age, especially in the head and neck region.
📊
Key Findings & Data:The aim of this study was to evaluate the demographic data of head and neck skin lesions in the geriatric age group and the preferred surgical approaches.Material-Method: The records of 170 patients of an age >65 years who underwent surgical excision and reconstruction for head and neck lesions in our clinic were retrospectively reviewed.
💡
Conclusion & Impact:The Surgical excision and repair with local flaps in the treatment provide very successful cosmetic results.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Introduction: The incidence of skin lesions increases with advancing age, especially in the head and neck region. The aim of this study was to evaluate the demographic data of head and neck skin lesions in the geriatric age group and the preferred surgical approaches.Material-Method: The records of 170 patients of an age >65 years who underwent surgical excision and reconstruction for head and neck lesions in our clinic were retrospectively reviewed. The histopathological results of the lesions and the repair method used were evaluated according to age and localization.Results: The mean age of the patients was 71.42 ± 14.20 years. The histopathologic distribution of the lesions were 75 (44.2%) basal cell carcinoma, 30 (17.6%) squamous cell carcinoma and 65 (38.2%) benign. The most frequent localizations were nose and cheeks, and the most preferred reconstruction methods were primary closure and advancement flap. None of the patients had serious complications.Conclusion: Basal cell carcinoma is the most common lesion in the head and neck region in elderly individuals. The lesions in this region can be detected in the early stage since they are in the visible region. The Surgical excision and repair with local flaps in the treatment provide very successful cosmetic results.

🔖

Cite This Article

KORKMAZ, M. Ö., DIKICIER, B. S., BAHÇECITAPAR, M., ELDEN, S. G., GÜVEN, M. C. (2020). APPROACH TO CUTANEOUS LESIONS OF THE HEAD AND NECK IN THE GERIATRIC AGE GROUP: RETROSPECTIVE ANALYSIS OF 170 CASES. Türk Geriatri Dergisi, Cilt: 23 - Sayı: 2, 206–215. https://ajindex.com/articles/398938

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Burton KA, Ashack KA, Khachemoune A. Cutaneous squamous cell carcinoma: A review of high-risk and metastatic disease. Am J Clin Dermatol. 2016;17(5):491-508. (PMID: 27358187)
  2. Situm M, Buljan M, Bulat V, Lugovic Mihic L, Bolanca Z, Simic D. The role of UV radiation in the development of basal cell carcinoma. Coll Antropol. 2008;32(2):167- 70. (PMID: 19138022)
  3. Padgett JK, Hendrix JD. Cutaneous malignancies and their management. Otolaryngol Clin North Am. 2001;34(3):523-53. (PMID: 11447001)
  4. Zou Y, Zhao Y, Yu J, et al. Photodynamic therapy versus surgical excision to basal cell carcinoma: meta analysis. J Cosmet Dermatol. 2016;15(4):374-82. (PMID: 27363535)
  5. Walker P, Hill D. Surgical treatment of basal cell carcinomas using standard postoperative histological assessment. Australas J Dermatol. 2006;47(1):1-12. (PMID: 16405477)
  6. Sreekantaswamy S, Endo J, Chen A, Butler D, Morrison L, Linos E. Aging and the treatment of basal cell carcinoma. Clin Dermatol. 2019;37(4):373-8. (PMID: 31345326)
  7. Yaldiz M. Dermatological diseases in the geriatric age group: Retrospective analysis of 7092 patients. Geriatr Gerontol Int. 2019;19(7):582-5. (PMID: 30950155)
  8. Rao JK, Shende KS. Overview of local flaps of the face for reconstruction of cutaneous malignancies: Single institutional experience of seventy cases. J Cutan Aesthet Surg. 2016;9(4):220-3. (PMID: 28163451)
  9. Fattahi TT. An overview of facial aesthetic units. J Oral Maxillofac Surg. 2003;61(10):1207-11. (PMID: 14586859)
  10. Miller DL, Weinstock MA. Nonmelanoma skin cancer in the United States: incidence. J AM Acad Dermatol. 1994;30(5):774-8. (PMID: 8176018)
  11. Rubin AI, Chen EH, Ratner D. Basal cell carcinoma. N Engl J Med. 2005;353(21):2262-9. (PMID: 16306523)
  12. Albert A, Knoll MA, Conti JA, Zbar RIS. Nonmelanoma skin cancers in the older patient. Curr Oncol Rep. 2019;21(9):79-88. (PMID: 31359294)
  13. Rowe DE, Carroll RJ, Day CL Jr. Prognostic factors for local recurrence, metastasis, and survival rates in squamous cell carcinoma of the skin, ear, and lip, implications for treatment modality selection. J Am Acad Dermatol. 1992;26(6):976-90. (PMID: 1607418)
  14. Kim JYS, Kozlow JH, Mittal B, Moyer J, Olenecki T, Rodgers P. Guidelines of care for the management of cutaneous squamous cell carcinoma. J Am Acad Dermatol. 2018;78(3):560-78. (PMID: 29331386)
  15. Losquadro WD. Anatomy of the skin and the pathogenesis of nonmelanoma skin cancer. facial plast Surg Clin North Am. 2017;25(3)