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. 2015 Jul-Sep;8(3):183-4.
doi: 10.4103/0974-2077.167289.

When Expanding a Margin of Skin Cancers After Reconstruction with Local Flap: Where to Do It?

Nicola Zingaretti  1 , Gianni Franco Guarneri  1 , Daria Almesberger  1 , Michele Riccio  2 , Pier Camillo Parodi  1
Affiliations

When Expanding a Margin of Skin Cancers After Reconstruction with Local Flap: Where to Do It?

Nicola Zingaretti et al. J Cutan Aesthet Surg. 2015 Jul-Sep.
No abstract available

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Figures

Figure 1
Figure 1
(a) With an advancement flap, if we were to make an enlargement of a margin (in red), this would not change its position after the advancement, but it would be necessary to lift the coverage flap in order to make said enlargement (b) A rotation flap: We usually divide the removed piece into four parts: So, if the need to make an enlargement should arise, it would be easier to do (c) The more complex transposition flap involves rotating an adjacent piece of tissue, resulting in the creation of a new defect which must then be closed
Figure 2
Figure 2
(a) Preoperative view of a 62-year-old woman with basal cell carcinomas in the caruncle and internal canthus of the left eye. She underwent excision and immediate reconstruction with a frontal flap (b) Postoperative views after 1 month from the first operation and before the re-excision (re-enlargement on cutaneous medial margin). The white dotted line shows that, after this complex reconstruction, it is not intuitive where the re-enlargement should be made
See this image and copyright information in PMC

References

    1. Baker SR. Philadelphia: Mosby; 2008. Local flaps in facial reconstruction; pp. 77–80.
    1. Jackson IT. Local flap reconstruction of defects after excision of nonmelanoma skin cancer. Clin Plast Surg. 1997;24:747–67. - PubMed