Page 46 - PowerPoint Presentation
P. 46
Merkel cell carcinoma
Illustration
A 55 year-old lady has a Through-and-through The resultant defect
Merkel cell carcinoma resection of tumour. demonstrating the
over right cheek with Resection margins were intraoral and skin defect.
deep invasion into sent for frozen section.
buccal mucosa.
A free anterolateral thigh flap with double skin island was harvested based on the
descending branch of lateral circumflex femoral artery (left). The bigger skin island
was used to reconcstruct the overlying cheek skin defect (middle). The smaller skin
island was used to reconstruct the buccal mucosal defect (right).