Rotation Advancement Flap
for Scalp Reconstruction
in a Patient With Skin Cancer
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1.
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2 |
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A
patient
with a carcinoma of the upper forehead. Most cancers in this
area are due to sun exposure. |
Defect after
Excision. |
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3. |
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4. |
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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. |
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5.
The
final result three months after the surgery.
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