Microsurgical Reconstruction of Large, Locally Advanced Cutaneous Malignancy of the Head and Neck

Large, locally advanced cutaneous malignancy of the head and neck region is rare. However, when present, they impart a significant reconstructive challenge. These cancers have a tendency to invade peripheral tissues covering a large surface area as well as expose deeper structures such as skull, du...

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Bibliographic Details
Main Authors: Joseph L. Hill, Brian Rinker
Format: Article
Language:English
Published: Hindawi Limited 2011-01-01
Series:International Journal of Surgical Oncology
Online Access:http://dx.doi.org/10.1155/2011/415219
Description
Summary:Large, locally advanced cutaneous malignancy of the head and neck region is rare. However, when present, they impart a significant reconstructive challenge. These cancers have a tendency to invade peripheral tissues covering a large surface area as well as expose deeper structures such as skull, dura, orbit, and sinus after resection. Complicating the reconstructive dilemma is the high incidence of individuals who have undergone previous surgery in the region as well as adjuvant radiation therapy, which may preclude the use of local flaps or skin graft. Free tissue transfer provides a reconstructive surgeon the ability to provide well-vascularized tissue with adequate volume not limited by arc of rotation.
ISSN:2090-1402
2090-1410