OUR EXPIRIENCE WITH INVASIVE SKIN CARCINOMA OF THE SKULL TREATED WITH A ROTATIONAL FLAP

A case report

  • Ana Tomevska PHI Special Hospital for Orthopedics and Traumatology St. Erasmus – Ohrid, North Macedonia
  • Mikjun Mikjunovikj PHI Special Hospital for Orthopedics and Traumatology St. Erasmus – Ohrid, North Macedonia
  • Zoran Bitrakov PHI Special Hospital for Orthopedics and Traumatology St. Erasmus– Ohrid, North Macedonia
  • Biljana Trajanoska PHI Special Hospital for Orthopedics and Traumatology St. Erasmus – Ohrid, North Macedonia
  • Slavco Ivanoski PHI Special Hospital for Orthopedics and Traumatology St. Erasmus – Ohrid, North Macedonia
  • Ana Trimoska Radeska PHI City General Hospital 8th September – Skopje, North Macedonia
  • Emilija Mikjunovikj General Hospital of Ohrid - Ohrid, North Macedonia
  • Ace Dodevski Institute of Anatomy, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, North Macedonia

Abstract

The escalating incidence of skin malignancies, particularly in sun-exposed areas such as the head and neck, requires innovative approaches for challenging cases. Squamous cell carcinoma, though common, rarely infiltrates the skull, presenting unique challenges in treatment and reconstruction. In this case report, we describe the management of a 77-year-old patient with recurrent invasive squamous cell carcinoma of the left temporal region extending into the skull. The patient underwent three surgeries within our institution due to squamous cell carcinoma recurrence, leading to a complex skin defect unsuitable for conventional closure methods. Our approach involved the use of a local rotational flap, using the robust vascularity of the scalp, allowing versatile orientation relative to the defect. The operating technique consisted of a craniectomy, removal of infiltrated tissue, and affected dura, followed by plastic reconstruction of the skin with a rotational flap, preserving healthy periosteum and temporal fascia. As the population with cutaneous neoplasms ages, the demand for expeditious and less morbid reconstructive options grows. This case underlines the effectiveness of the local rotational flap for reconstructing medium-sized complex scalp defects post-cancer resection. Our experience suggests that the rotational scalp flap is a reliable and safe choice, offering a favorable balance between surgical outcomes and patient well-being.


 Keywords: scalp, squamous cell carcinoma, rotation advancement flap, recurrence, invasion of dura.

References

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Published
2023-12-26
How to Cite
TOMEVSKA, Ana et al. OUR EXPIRIENCE WITH INVASIVE SKIN CARCINOMA OF THE SKULL TREATED WITH A ROTATIONAL FLAP. Journal of Morphological Sciences, [S.l.], v. 6, n. 3, p. 4-9, dec. 2023. ISSN 2545-4706. Available at: <https://jms.mk/jms/article/view/vol6no3-2>. Date accessed: 02 mar. 2024.
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Articles