Soft Tissue Reconstruction for Basaloid Squamous Cell Carcinoma on the Hemiface

615 Tracheal and soft tissue involving the dermis layer had adhered from the neck to the chest along the left approach track. After removing the scar tissue, the adhered site was covered with deep cervical fascia and subcutaneous fat tissue using an anti-adhesive agent. After surgery, the band-like scar tissue disappeared and symptoms improved (Fig. 2). This case involved a rare complication from a bilateral axillo-breast approach robotic thyroidectomy. Although robotic surgery has advantages in terms of scar appearance, it can also cause internal scarring under the surgical site. In this case, a scar formed beneath the skin layer. Approaches close to the skin may lead to band-like scar formation. Therefore, especially in dynamic areas like the neck and joint, surgeons should ensure that the surgical approach is not too shallow.