J Craniofac Surg. 2020 Sep 8. doi: 10.1097/SCS.0000000000007013. Online ahead of print.
Reconstructive surgery following skin cancer resection in octogenarian patients can be challenging. Despite current advancements in reconstructive options, most of these wide excision defects require local or even free flap coverage, causing physical and emotional impairment. Few reports have been published on the management of these complex craniofacial defects. We present our experience in 2 octogenarian patients with craniofacial skin cancer treated with wide excision under wide-wake local
anesthesia and subsequently reconstructed with fenestrated-type artificial dermis. Both patients had uneventful recovery. The wounds healed by secondary intention without skin grafting.