Face and Nose Reconstruction With Forehead Flap, Skin Cancer, Kevin Kavanagh
Facial and Nose Reconstruction With Forehead Flap, Skin Cancer, Kevin Kavanagh
  


 
Nasal Reconstruction Forehead Flap in a Patient
With Morfeaform Basal Cell Carcinoma ( Skin Cancer )
 

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A patient with a large morpheaform basal cell carcinoma of the nose was removed with Mohs surgery.  

Morpheaform basal cell carcinoma tracks under the skin and large defects are often required to remove seemingly small lesions.

The patient also had a large morpheaform basal cell carcinoma of the right upper lip.


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A very large defect was created on the nose and lip.
 

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The lateral view of the lip and nose defect.

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The appearance of the defect before surgery.    The appearance of the defect before surgery. 

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The lip defect was approximately 25%.  It was treated by performing a "V" resection and primary closure. 

A forehead flap was outlined.  The patient had tight skin and a flap width of two centimeters was used.  Unfortunately, the required length meant using hair bearing skin.
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The forehead flap is elevated and placed horizontally in position.  The nasal defect was narrowed in height by undermining and advancing the skin on the superior aspect of the nose. 

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Final Closure of First Stage.

It is very important to close the facial layer of the scalp to take the pressure off of the skin. 

 Final Closure of First Stage.

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An Adaptic Dressing is applied over the pedicle.  Antibiotic ointment is used to coat the remaining dress wounds.  Day 1 Post-Op First Stage.
Since the patient has relatively dark hair and fair skin, laser therapy can be used to remove the hair on the flap.  In patients with light hair or a darker completion, this may not be an option. 

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Day 9 Post-Op First Stage. Day 15 Post-Op First Stage. The redness was due to an allergy to the antibiotic ointment used.

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 Day 22 Post-Op First Stage.

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Day 29 Pre-Op Second Surgical Stage. Second Stage, Immediate Post-Op Result.

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Second Stage, 1 week result. Second Stage, 1 week result.

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Second Stage, 1 week result. Second Stage, 1 week result.

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  Second Stage, 6 week result.

    
  


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Copyright 1999, 2001,2002, 2003,2004, 2008, 2009 
Kevin T Kavanagh,  All Rights Reserved

Page Last Updated 08/18/2017 
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For Continuing Medical Education Credits
Go To: 
 
Return to Ear Nose and Throat - U.S.A.
(Over 1000 pictures, 90 Videos and 250 pages of info.)
 

   
The Following Websites are Searched:  www.entusa.com, www.waent.org , www.ear-anatomy.com, www.occupationalhearingloss.com, www.cme-usa.org and www.tobacco-facts.info


Subscribe to a Mailing List for Ear, Nose & Throat Health Care Providers.  Be Notified of updates on  http://www.entusa.com  &
 http://www.waent.org
 

 

 
Number of Visits Since 12/16/2008 
 

 
Copyright 1999, 2001,2002, 2003,2004, 2008, 2009 
Kevin T Kavanagh,  All Rights Reserved

Page Last Updated 08/18/2017 
( Site Map )
 

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