Page 31 - PlasticosVol4

V O L 4 2019 I S S U E

STRANGER THINGS: CASE REPORT
STRANGER THINGS The Case: The surgery:

CASE REPORT A 78-year-old lady presented to us with the A two-team approach was undertaken and the

Plastic team started raising a large flap once
following picture.
the rough defect dimensions were known.

The defect was real full thickness exposing the
brain.

It was 20*12 cm ulcerated exuberant lesion
over the frontal and parietal scalp region with
everted margins. It was suspected to be a Basal
Cell Carcinoma. She was treated at a local
hospital and had presented to us for definitive
management.

The Plan: Duraplasty was done using Fascia Lata Graft.

To confirm the diagnosis first by a Biopsy
(which was found to be BCC).

Then plan for wide excision and reconstruction
accordingly.

A large Anterolateral Thigh (ALT) free flap was
planned as
Dr Saumya Nayak
1) It was anticipated that the defect size would
Plastic Surgeon be huge, and a large skin flap will be required.
LUXOR HOSPITAL
Baroda, Gujarat 2) No need for any muscle.

3) With nice proximal dissection, the ALT vessels
also become sizeable.

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