Case 2: Cheek rotation flap
Authors: Liv Schöllhammer, MD, Frederik Gulmark Hansen, med.stud. and Magnus Balslev Avnstorp, MD
80 years old male with aggressive squamous cell carcinoma on the right cheek involving the right lower eyelid.
Before and after
1
Step 1: Excision
Radical excised squamous cell carcinoma including parts of the orbicularis oculi muscle.
- Per-operative freezing histology samples were collected. The first was not radical, the second was without tumorcells.
2
Step 2: Closure
Reconstruction with a cheek rotation flap in the SMAS-plane (Superficial Musculo Aponeurotic System).
- Closure of the cheek rotation flap avoiding too much downwards drag in lower eyelid.
3
Step 3: Follow-up
6- months follow-up photo