Reconstruction of Mandible and Maxilla After Resection for Non-melanoma Skin Cancer or Cutaneous Melanoma

  • Frédéric KolbEmail author


Tumors arising from the skin rarely invade bone as diagnosis is often made at an early stage. These rare cases are mostly located at the head and neck region because it is the primary site for skin tumors and bony structures are in close relation with the skin [1–5]. This explains why the calvaria is the primary site for bone invasion by skin tumors [5–8] (Figs.  6.15 and  6.24). Maxilla and mandible are less likely to be involved and are seen in the context of aggressive [9, 10] (Figs.  6.22,  6.25,  6.27, and  6.28) or specific tumors [11–18] (Fig. 11.1), one of which being mucosal melanoma (MM). MM represents only 1.3% of all melanomas [19], but mostly arise from head and neck (55% of cases) and lead to bone resection in 70–80% of all midface cases [20]. Overall, T4 tumors, other than MM, represent less than 5% of all head and neck cases [21, 22]. Finally, bone extension is more frequent in immunodepressed patients [23] or specific diseases, such as xeroderma pigmentosum, because of the tumor invasiveness. Patient’s health status, along with general disease prognosis, will have to be taken into account before planning the type of bone reconstruction. Being the result of a long and neglected disease or aggressive tumors, patient’s survival is engaged and renders life expectancy a prevalent parameter for reconstructive indications. For all these reasons no specific guidelines exist to manage mandible and maxilla interruption secondary to skin tumor resection [24].


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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Service de Chirurgie Plastique et ReconstructriceGustave-RoussyVillejuifFrance

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