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Togatorop, Yeremia Maruli
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Medicine & Pharmacology

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RECONSTRUCTION OF CHIN DEFECT POST BASAL CELL CARCINOMA EXCISION USING RHOMBOID FLAP: A CASE REPORT Togatorop, Yeremia Maruli; Saktrio D. Subarno
Jurnal Rekonstruksi dan Estetik Vol. 10 No. 1 (2025): Jurnal Rekonstruksi dan Estetik, June 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jre.v10i1.64457

Abstract

Highlights: BCC is strongly associated with UV radiation exposure,commonly affecting the face, but the chin is rarely involved (1.2% incidence). Chin reconstruction after BCC excision is challenging, requiring careful flap selection for function and aesthetics. The rhomboid flap is a preferred choice, offering good blood supply, minimal tension, quick healing, and better cosmetic results. Abstract: Introduction: Basal cell carcinoma (BCC) is a malignant skin tumor with the highest incidence and originates from the basal cells of the epidermis, with the nodular type being the most common. Case Illustration: A 76-year-old female patient came with complaints of a lump on the chin that had enlarged and bled easily for 3 years before entering the hospital. The patient was diagnosed with Basal Cell Carcinoma in the chin region.  Discussion: Wide excision was performed under local anesthesia, then the wound was closed with a rhomboid flap. Evaluation after 1 month post-operatively the wound closed well and the scar was disguised.  Conclusion: The chin is a unique aesthetic area with unique contours and shapes, making it a challenge for plastic surgeons to perform reconstruction after extensive BCC excision. The rhomboid flap is a very versatile local flap because it can be used almost anywhere on the body, including the chin.
Co-Authors Saktrio D. Subarno