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Superficial Radiotherapy (SRT)

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Osteoradionecrosis of Skull

July 25, 2017

HISTORY 85-year-old man presented in 4/2016 with a 4 month history of a nonhealing scalp wound following excision of melanoma, radiation, and two failed skin grafts. Patient was treated with serial outer table of calvarium debridements – 4/2016, 7/2016, 11/2016. Patient had a consultation with UCI team for full thickness calvarial resection and microvascular reconstruction.…

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Foreign Body Granuloma of Forehead

July 24, 2017

HISTORY 43-year-old woman presented in June 2013 with 6-month history of 1 cm forehead nodule that appeared during pregnancy. The soft lesion fluctuated in size according to the patient. Excisional biopsy performed on 6/1/17 revealed chronic granulomatous inflammation around refractile foreign material. The lesion appeared to be recurring 2 weeks post-operatively. DISCUSSION Foreign body granuloma…

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SUBTOTAL LIP RECONSTUCTION

April 3, 2017

DISCUSSION This month’s reconstructive series represents challenges of subtotal upper lip reconstruction. This series represents a progression of difficulty from simpler cutaneous defect to the larger full-thickness defects. The technique used is the extended myocutaneous upper lip and nasolabial fold island flap. The blood supply of this flap is based on the deep perforators of the angular…

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LEFT EAR MULTIPLE RECURRENT BASAL CELL CARCINOMA

December 21, 2017

HISTORY   64-year-old woman presents with recurrence of left ear basal cell carcinoma.  She has a history of sun lamp tanning  and scuba diving with multiple sun burns. Basal cell carcinoma was first removed from left scapha and treated with a skin graft in July 2009. The area subsequently developed crusting and was treated with…

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FIELD CANCERIZATION WITH BASAL CELL CARCINOMA

May 18, 2017

HISTORY This 69-year-old man presented with greater than 25-year history of multiple basal cell carcinomas of the face and neck. His most problematic cancer has been in the right face. The right facial basal cell carcinoma story that we were able to uncover started 11 years ago with wide local resection of right ear and…

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Bilateral Nasal Island Flaps for Large Nasal Defects

July 25, 2017
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