Facial and Ear Reconstruction With a Scalp Advancement Flap and Forehead Flap, Skin Cancer, Kevin Kavanagh
Facial and Ear Reconstruction With a Scalp Advancement Flap and Forehead Flap, Skin Cancer, Kevin Kavanagh

Scalp Advancement Flap for Ear Reconstruction
in a Patient who had Resection of a Skin Cancer



This patient had a squamous cell carcinoma of the auricle.

1st Stage Surgery  Shown to the right is the ear defect after surgical resection.



1st Stage Surgery:
A scalp flap is outlined to close the defect.

1st Stage Surgery 
The flap is sewn in place.



1st Stage Surgery  One week post-op the sutures are removed.



2nd Stage Surgery:

Pre-op second stage at 6 weeks post-op first stage.

2nd Stage Surgery

Outline of scalp flap to be used for reconstruction.



2nd Stage Surgery:

Immediate Post-Op Result.  The flap was thinned and folded on itself.  The flap was very stiff and did not allow optimal contouring for reconstruction.

2nd Stage Surgery

Immediate Post-Op Result.  A large scalp rotation advancement flap was used to close the secondary defect.



2nd Stage Surgery:

Post op 8 days

Post-Op 2.5 Months
Up Forehead Flap Forehead Flap - Flash Abbe Estlander Flap Abbe Estlander Flash Abbe Estlander Flap Abbe Estlander Flap Rotation Advancement Rotation Advancement Rhomboid Flap Rhomboid Flap Rhomboid Flap Bilobed Flap Bilobed Flap - Flash Nasolabial Flap Nasal Labial Flap Nasolabial Flap Nasolabial Flap Ear Reconstruction Nasolabial Flap Ear Reconstruction Ear Reconstct. Flash Flap Necrosis


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