Int. J. Curr. Res. Med. Sci. (2017). 3(5): 129-137 129 International Journal of Current Research in Medical Sciences ISSN: 2454-5716 P-ISJN: A4372-3064, E -ISJN: A4372-3061 www.ijcrims.com Original Research Article Volume 3, Issue 5 -2017 Survival and aesthetic outcome of local flaps used for reconstruction of face defects after excision of skin malignancies: Multi-institutional experience of 175 cases Yasser Helmy, Ahmed Taha and Abd EL-Nasser Khallaf. (Al-Azhar University- Plastic Surgery Department, Cairo) Abd El-Fattah Al-Sheikh (Al-Azhar University Onco-Surgery Unit, Cairo) Abstract Background: Local facial flaps are frequently used reconstructive option and are carrying very good outcome as regard matching, texture, and less scarring. This study was designed retrospectively to evaluate the flap survival and aesthetic outcome of the three commonly used local facial flaps. Material and methods: Retrospective analysis of 175 patients whom were managed by local fasciocutanous flap reconstruction using advancement flap, nasolabial flap, and forehead flap. Results: Total flap survivals. Of 80 patients of advancement flaps 8 showed flap edge dehiscence, but all healed conservatively. Of 10 flaps underwent transposition local flaps in the nose, no any flap shows dehiscence. Of 52 nasolabial flaps, 2 showed dehiscence and of 33 forehead flaps, one showed dehiscence. All flaps were survived without any complications and V-Y advancement flaps were carried out the best aesthetic outcome. Conclusion: Local face flaps for reconstruction of post malignancy facial defects are carrying a sensational survival, however advancement flap carries the best aesthetic outcome. Keywords: Local Face flaps- skin malignancies- survival- aesthetic- outcome. Introduction Many predisposing factors have been described for skin malignancies in the face, with different incidence presentation for the most common three types of skin cancers, Basal, squamous carcinomas and melanoma. 1,2,3,4 Multimodalities treatment have been described for each type and presentation management, in the form of; surgical excision, cryosurgery, radio ablation, electro cauterization and curettage but surgery have been reported to be the best line of treatments of skin cancers. 2,4,5 Surgeries for reconstruction of defects following excision of skin cancer from the face are including direct closure, skin grafting, local and distant flaps. Skin graft carries up a higher scar outcome risk and not suitable when there is exposed cartilage or bone or when defects are in tinny curved areas as been located in medial or lateral canthi or at facial DOI: http://dx.doi.org/10.22192/ijcrms.2017.03.05.018