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Malignant skin cancer is the most common type of malignancy, and is frequently found and increasing nowadays. Surgery for removal of skin cancer is very important. The authors had good results from surgery and reconstruction of facial defect. The effective surgical method and variable method of reconstruction are described here with a clinical analysis. Subjects and Method:19 patients who were diagnosed facial skin cancer were divided by age, sex, type of cancer, region, and reconstruction method, and they were analyzed retrospectively. Results:Of the 19 patients, squamous cell carcinomas were 5, basal cell carcinomas 11, and Merkel cell carcinoma 2. One patient had basosquamous cell carcinoma. Sites of skin cancer occurrence was nasal region (11 patients), auricular region (4 patients), cheek (2 patients) and preauricle (2 patients). Reconstruction was done right after the excision. There was no recurrence cases to date. Conclusion:The authors had good results regarding reconstruction following the excision of the skin cancer. Therefore, every physician have to consider this method as a treatment of skin cancer, and think of as many reconstruction methods as possible for the patient. (Korean J Otorhinolaryngol- Head Neck Surg 2008;51:1043-6)

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