Facial and Face Reconstruction With Rhomboid Flap, Skin Cancer, Kevin Kavanagh
Facial and Face Reconstruction With Rhomboid Flap, Skin Cancer, Kevin Kavanagh
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Rhomboid Flap for Face Reconstruction in
a Patient With Malignant Melanoma
 

1.

Forehead-Temple Melanoma.jpg (33563 bytes)

2

A patient with a Melanoma of the Temple.   Most cancers in this area are due to sun exposure. Abstract for Melanoma Guidelines of Care
 
Article for Staging of Melanoma

National Cancer Institute on Staging of Melanoma

A rhomboid flap is constructed.  The maximum pull on the tissue is shown by the green arrow. Because of tissue pull, the dimensions of the rhomboid are shorter in one direction than the other.
   
   
  

3.

Rhomboid Flap Excision.jpg (83189 bytes)

4.

Rhomboid Flap Surgery.jpg (83373 bytes)

In this patient, a square defect was excised.  This will increase the tension of the closure.  But because of the loose skin in the patient's cheek, the wound was closed with little tension.

 The flap is rotated into position and sewn in place.

Rhomboid Flap Post Op.jpg (70129 bytes)

5.

The final result twelve months after the surgery.

   

     
  

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