Frontal Basal Cell Carcinoma Excision Under Regional Anesthesia Using Scalp Nerve Blocks: A Case Report

Abstract

Surgical interventions involving the face, particularly in elderly or medically complex patients, present unique anesthetic challenges. We report the case of a 70-year-old woman with multiple comorbidities who underwent excision of a midline frontal basal cell carcinoma (2.5 cm x 2 cm) under regional anesthesia and sedation. Bilateral supraorbital, supratrochlear, and zygomaticotemporal nerve blocks were performed. Sedation was maintained with intravenous bolus fentanyl and propofol infusion. The procedure was completed without complications, with excellent analgesia and hemodynamic stability. Scalp nerve blocks may offer a safe and effective alternative to general anesthesia for forehead surgeries, particularly in high-risk patient populations.