Metastasierendes Schläfenbasaliom oder Ausbreitung per continuitatem? Histologie,operatives Vorgehen und klinisches Ergebnis

Summary By means of histological sections taken during the operation the seldom diagnosis basalioma of the temporal area with regional metastases in the parotid gland and in the neck could be verified.The operation consisted of en bloc excision of the basalioma, the exstirpation of the parotid gland and the radical neck dissection. Since the tumor had also infiltrated the facial nerve, the nerve had to be sacrificed and reconstructed using the superficial peroneal nerve. In order to obtain immediately a satisfactory aesthetic result in the face region, in addition to the facial nerve graft, the corner of the mouth and the eyelids was taken up using lyophilized dura mater and parts of the temporal muscle and its fascia. A facelifting supported this procedure. The primary closure of the temporal skin defect was successfully performed using a regional skin flap from the scalp.