c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Converse Flap for Squamous Cell Carcinoma: 1

A D V E R T I S E M E N T

   
 

A 63-year-old man presented with a 5-cm squamous cell carcinoma of the forehead. CT scan showed erosion of the outer table of the frontal bone. Workup revealed a cervical metastasis that was unresectable because it invaded the carotid artery. The patient had a past history of multiple basal cell carcinomas treated with surgery and/or radiotherapy. The lid ptosis is a result of these past treatments. The patient was prepared for surgical resection of the primary lesion and underlying bone with a Converse forehead flap reconstruction. The cervical metastasis would be treated with radiotherapy.     

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Converse Flap for Squamous Cell Carcinoma: 2

A D V E R T I S E M E N T

   
 

The patient also had generalized ichthyosis, making selection of a donor site for the concomitant split thickness skin graft challenging.       

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Converse Flap for Squamous Cell Carcinoma: 3

A D V E R T I S E M E N T

   
 

The lesion was excised down to bone with a 1-cm circumferential margin.       

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This page was last modified on 7/30/2007.