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Does experience of the surgeon affect surgical margins in head and neck basal cell carcinoma?

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Szewczyk M., Marszałek A., Golusiński P., Kosińska A., Niewiński P., Pazdrowski J., Dańczak-Pazdrowska A., Golusiński W.

Polish Journal of Otolaryngology

2022

vol. 76

issue 2

1-6

Aim: The aim of our study was to evaluate the impact of surgical experience in a high volume head and neck surgery department on basal cell carcinoma margin status. Material and methods: A retrospective analysis of 546 patients surgically treated for primary basal cell carcinoma of the head and neck region was carried out. Resections were performed by 4 specialists with equal experience in head and neck surgery and 4 ENT residents at the same level of surgical training. A margin of 3–5 mm was chosen, according to guidelines. Results: The study consisted of 304 males and 242 females, mean age of 69 (range 26–100). Most of the tumors were located on the nose (165 pts; 30.2%) and auricle (119; 21.7%). The most common histological subtype was nodular (119; 21.7%). Tumor size was up to 20 mm in 394 cases (72%). Positive surgical margins were found in 112 cases (20.5%). There was no difference in terms of positive surgical margins between residents (19/119 cases; 15.9%) and specialists (93/426; 21.8%; p = 0.161). Conclusions: The results of our study have shown that adequate surgical training in a dedicated head and neck surgery de-partment is an efficient factor in obtaining free surgical margins in head and neck basal cell carcinoma.

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1 Polish Journal of Otolaryngology

1 2022

1 Dańczak-Pazdrowska A.

1 Golusiński P.

1 Golusiński W.

1 Kosińska A.

1 Marszałek A.

1 Niewiński P.

1 Pazdrowski J.

1 Szewczyk M.

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Does experience of the surgeon affect surgical margins in head and neck basal cell carcinoma?