Page 46 - PowerPoint Presentation
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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).
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