Posts Tagged ‘partial island flap’
Sensory Symptoms with Skin Cancers
HISTORY A 68-year-old woman presented with left cheek radiating, shooting pains in the area of biopsy proven basal cell carcinoma. The neuralgia symptoms radiated to the nose, eye, and temple. MRI of the face was non-contributory. Mohs excision was performed by the dermatologist. Additional margin wide local excision was performed at the reconstructive procedure. Patient…
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Lower Lip Mucosal Defect
DISCUSSION The goals of lower lip mucosal defect reconstruction include the following: Preservation of vermillion line continuity Avoiding depressions of red lip and preserving lip fullness Preservation of red lip roll (ridge) Myomucosal island flaps help achieve all of these goals. The flaps are created laterally or medially to the defect. The island can be…
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CHEEK AND EYELID RECONSTRUCTION WITH MULTIPLE PARTIAL ISLAND FLAPS
HISTORY 61-year-old woman presents with several year history of pigmented left cheek and lower lid lesion. She was initially treated with liquid nitrogen 15 months ago. A biopsy was performed 6-8-17 and revealed melanoma in situ. Excision with close margins performed 6-16-17. Clear margins found on LPMG reading. Second opinion from UCSD was suspicious for…
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