Reconstructive Techniques
Cheek Reconstruction 1
Squamous Cell Carcinoma of cheek. Treatment radiation therapy, Mohs surgery coordinated with primary dermatologist at SCARS Center, and reconstruction by Simon Madorsky, MD.
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ADDITIONAL MARGIN EXCISION AFTER SKIN GRAFTING
DISCUSSION This series of photographs represents an approach to margin management of melanoma in situ. Some melanoma in situ margins are difficult to assess clinically, as is the case in our first series with extensively pigmented skin. In some settings, taking 7-9 mm margins exposes the patient to significant healing issues, as the second case…
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Medial Canthus Repair
LARGE FOREHEAD DEFECTS
DISCUSSION This series of large forehead defects features a frequent common theme of reconstruction. The goal of reconstruction is protection of eyebrow position and prevention of upper eyelid retraction. If tension was placed on the eyebrow with a large forehead flap, upper eyelid can suffer from a cicatricial lagophthalmos. Incomplete closure of the eyelid of…
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Bilateral Nasal Island Flaps for Large Nasal Defects
EXTENDED LATERAL NASAL ISLAND FLAP
Discussion Here we present three cases of extended lateral nasal island flap. These flaps are based on the branches of angular artery that include alar artery and the lateral nasal arteries. The flap is an excellent way of reconstructing nasal tip, dorsum and ala defects up to 1.5 cm in diameter. The release of the…
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ALAR ISLAND FLAP
Discussion This month’s reconstructive case series addresses a small alar island flap for reconstruction of smaller defects of the ala. The alar island flap is based on lateral nasal artery and alar artery arising from the angular artery of the face. Wide release of the flap is necessary both in subcutaneous plane and in submuscular plane separating if…
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