Facial and Scalp Reconstruction With Rotation Advancement Flap, Skin Cancer, Kevin Kavanagh
Facial and Scalp Reconstruction With Rotation Advancement Flap, Skin Cancer, Kevin Kavanagh
  
Rotation Advancement Flap for Scalp Reconstruction
in a Patient With Skin Cancer
 

1.

 RA Flap Lesion.jpg (117221 bytes)

2

 RA Flap Resection.jpg (111647 bytes)
A patient with a carcinoma of the upper forehead.   Most cancers in this area are due to sun exposure. Defect after Excision.

3.

 RA Flap Plan.jpg (92520 bytes)

4.

 RA Flap Surgery.jpg (120919 bytes)
A large scalp rotation advancement flap is created.  The scalp has very little stretch and thus a large flap is required.  This flap is elongated more than normal because of the poor blood supply to the skin.  A back-cut was also done at the end of the flap to increase the reach of the flap.  This has to be done carefully since if a back-cut is too large the vascularity of the flap may be compromised.  A drain is placed through the back-cut defect.
RA Flap Post Op.jpg (84629 bytes)

5.

The final result three months after the surgery.
   

 

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Copyright  2001, 2002, 2007   Kevin T Kavanagh, All Rights Reserved 
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