Ear Reconstruction with Preauricular Transposition and Helical Chondrocutaneous Advancement Flap After Excision of Trichilemmal Carcinoma

Year 2023, , 61 - 64, 22.06.2023

Yaşar Kemal Duymaz

https://doi.org/10.26650/Tr-ENT.2023.1249967

Abstract

Trichilemmal carcinoma (TLC) is a fairly uncommon cutaneous malignancy with a favorable prognosis in the majority of cases. The gold standard of treatment is extensive local excision. The purpose of this study is to demonstrate the outcomes of a single-stage surgical approach that preserves the ear’s anatomical characteristics. We present a case of a 70-year-old man who was treated with a single-stage surgical technique for trichilemmal cancer of the ear. After six months, the ear seemed to have entirely healed with no evidence of recurrence.

Keywords

Trichilemmal carcinoma, single-stage surgical approach, helical chondrocutaneous advancement flap, preauricular transposition flap, ear reconstruction

References

• Reis JP, Tellechea O, Cunha MF, Baptista AP. Trichilemmal carcinoma: review of S cases. J Cutan Pathol 1993;20(1):44-9. google scholar
• Tolkachjov SN, Hocker TL, Camilleri MJ, Baum CL. Mohs micrographic surgery in the treatment of trichilemmal carcinoma: The Mayo Clinic experience. J Am Acad Dermatol 2015;72(1):195-6. google scholar
• Headington JT. Tumors of the hair follicle. A review. Am J Pathol 1976;85(2):479-514. google scholar
• Sun J, Zhang L, Xiao M, Li S, Chen R, Li Y, et al. Systematic analysis and case series of the diagnosis and management of trichilemmal carcinoma. Front Oncol 2023;12(January):1-15. google scholar
• Hamman MS, Jiang SIB. Management of Trichilemmal carcinoma: An update and comprehensive review of the literature, Dermatologie Surg 2014;40(7):711-7. google scholar
• Carr RA, Taibjee SM, Sanders DSA. Basaloid skin tumours: Basal cell carcinoma. Curr Diagnostic Pathol 2007;13(4):252-72. google scholar
• Dalton MSR, Leboit PE. Squamous cell carcinoma with clear cells: How often is there evidence of tricholemmal differentiation? Am J Dermatopathol 2008;30(4):333-9. google scholar
• Yi HS, Sym SJ, Park J, Cho EK, Ha S-Y, Shin DB, et al. Recurrent and Metastatic Trichilemmal Carcinoma of the Skin Over the Thigh: A Case Report. Cancer Res Treat 2010;42(3):176. google scholar
• Xu DB, Wang T, Zhen L. Surgical Treatment of Trichilemmal Carcinoma. world J Oncol 2018;9(5-6):141-4. google scholar