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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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
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spelling doaj-f4b4b2e40a3147b1856f70a15afb5c882020-11-24T21:13:35ZengHindawi LimitedInternational Journal of Surgical Oncology2090-14022090-14102011-01-01201110.1155/2011/415219415219Microsurgical Reconstruction of Large, Locally Advanced Cutaneous Malignancy of the Head and NeckJoseph L. Hill0Brian Rinker1Division of Plastic Surgery, Department of Surgery, University of Kentucky College of Medicine, Lexington, KY 40536-0284, USADivision of Plastic Surgery, Department of Surgery, University of Kentucky College of Medicine, Lexington, KY 40536-0284, USALarge, 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.http://dx.doi.org/10.1155/2011/415219
collection DOAJ
language English
format Article
sources DOAJ
author Joseph L. Hill
Brian Rinker
spellingShingle Joseph L. Hill
Brian Rinker
Microsurgical Reconstruction of Large, Locally Advanced Cutaneous Malignancy of the Head and Neck
International Journal of Surgical Oncology
author_facet Joseph L. Hill
Brian Rinker
author_sort Joseph L. Hill
title Microsurgical Reconstruction of Large, Locally Advanced Cutaneous Malignancy of the Head and Neck
title_short Microsurgical Reconstruction of Large, Locally Advanced Cutaneous Malignancy of the Head and Neck
title_full Microsurgical Reconstruction of Large, Locally Advanced Cutaneous Malignancy of the Head and Neck
title_fullStr Microsurgical Reconstruction of Large, Locally Advanced Cutaneous Malignancy of the Head and Neck
title_full_unstemmed Microsurgical Reconstruction of Large, Locally Advanced Cutaneous Malignancy of the Head and Neck
title_sort microsurgical reconstruction of large, locally advanced cutaneous malignancy of the head and neck
publisher Hindawi Limited
series International Journal of Surgical Oncology
issn 2090-1402
2090-1410
publishDate 2011-01-01
description 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.
url http://dx.doi.org/10.1155/2011/415219
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