APPROACH TO CUTANEOUS LESIONS OF THE HEAD AND NECK IN THE GERIATRIC AGE GROUP: RETROSPECTIVE ANALYSIS OF 170 CASES

Abstract

Introduction: The incidence of skin lesions increases with advancing age, especially in the head and neck region. The aim of this study was to evaluate the demographic data of head and neck skin lesions in the geriatric age group and the preferred surgical approaches. Material-Method: The records of 170 patients of an age >65 years who underwent surgical excision and reconstruction for head and neck lesions in our clinic were retrospectively reviewed. The histopathological results of the lesions and the repair method used were evaluated according to age and localization. Results: The mean age of the patients was 71.42 +/- 14.20 years. The histopathologic distribution of the lesions were 75 (44.2%) basal cell carcinoma, 30 (17.6%) squamous cell carcinoma and 65 (38.2%) benign. The most frequent localizations were nose and cheeks, and the most preferred reconstruction methods were primary closure and advancement flap. None of the patients had serious complications. Conclusion: Basal cell carcinoma is the most common lesion in the head and neck region in elderly individuals. The lesions in this region can be detected in the early stage since they are in the visible region. The Surgical excision and repair with local flaps in the treatment provide very successful cosmetic results.