Surgical Management and Reconstruction Strategies Highlighted for Head and Neck Basal Cell Carcinoma
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March 26, 2026“Surgical excision remains the cornerstone of curative treatment, with recommended margins depending on tumor risk stratification.”
BUFFALO, NY — March 26, 2026 — A new research perspective was published in Volume 13 of Oncoscienceon March 11, 2026, titled “Basal cell carcinoma of the head and neck: Surgical management and postoperative strategies – A researcher’s perspective.”
Led by Lawik Revend from Army Hospital Berlin, with Doha Revend from the same institution and corresponding author Florian Dudde from Army Hospital Hamburg, the paper presents a structured narrative review combined with institutional clinical experience to summarize diagnosis, surgical management, reconstructive techniques, and postoperative strategies for head and neck basal cell carcinoma (BCC). The authors note that BCC is among the most common cutaneous malignancies and that, although metastatic spread is rare, locally invasive disease can compromise functionally and aesthetically critical structures.
The review found that surgical excision remains the cornerstone of curative treatment, with margins tailored to tumor risk stratification. Mohs micrographic surgery offers superior margin control in anatomically critical regions, while reconstruction should be individualized according to defect size, anatomic subunit involvement, and patient factors. The authors also emphasize that local flaps are often appropriate for smaller to medium-sized defects, whereas larger or deeply infiltrative tumors may require regional or free tissue transfer.
“Successful management of head and neck BCC requires interdisciplinary collaboration and individualized reconstructive planning.”
The paper further highlights that advances in flap techniques, digital surgical planning, and systemic therapies have expanded treatment options, particularly in complex cases. The authors conclude that interdisciplinary care, individualized reconstruction, and long-term follow-up are essential for optimizing both oncologic control and functional and aesthetic outcomes.
DOI: https://doi.org/10.18632/oncoscience.646
Correspondence to: Florian Dudde – floriandudde@gmx.de
Keywords: cancer, basal cell carcinoma, surgical excision, local flap, head and neck reconstruction, plastic surgery
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