Patient Case #2501
Very large cancers require even larger flaps. In this case, a second skin cancer was identified just above another cancer diagnosed by the referring dermatologist. Curing this cancer required removal of most of the skin of the nasal tip. To reconstruct this defect, a two-stage procedure was required. An island flap containing a reliable artery and vein were rotated from the forehead to the nose to fill the defect. After waiting two weeks to allow new blood vessels to grow into the site, the pedicle or stalk was divided. The tissue now survives on it’s own incipient blood flow.