2015, Number 1
Multiple rhomboplasty in rescue surgery of head and neck cancer
Expósito ROR, Ladrón de Guevara GJL, Frías BR, Valles GM
Language: Spanish
References: 9
Page: 63-68
PDF size: 106.37 Kb.
ABSTRACT
Limberg’s rhomboplasty is a useful surgical technique for facial defect repair. Here is a 55 years-old male patient from a rural area, who went to the neck and head surgery service for a persistent lesion occurred three months before. The lesion was located in the right temporofrontal region, in the form of an ulcer that causes a lot of pain and physical and esthetical discomfort. Surgical resection and biopsy were performed, and the latter showed a basal carcinoma whose borders were lesion-free and an 8 cm round defect remained. The size and location of such lesion in a barely extensible area made the border-to-border closure of the lesion impossible. It was then necessary to design Limberg’s rhomboplasty that requires three concentric cutaneous flaps from the scalp, preauricular and frontal regions, followed by dissection, transposition and suture of such flaps without affecting blood irrigation. Limberg’s rhomboplasy shows that it is a good technique for forehead defect repairs and facilitates the expected oncological and esthetic outcome.REFERENCES