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DERMATOLOGIC SURGERY: ROTATION ADVANCEMENT FLAP AS FIRST LINE TREATMENT FOR HIGH-RISK SQUAMOUS CELL CARCINOMAS OF THE
G Tchernev1, I Pidakev2, I Lozev2
11Onkoderma - Clinic for Dermatology, Venereology and Dermatologic Surgery, Sofia; 2Department of Dermatology and Venereology, Medical Institute of Ministry of Interior, Sofia, Bulgaria.
Georgian Medical News
|November 24, 2024
Summary
Rotation advancement flaps are complex in high-risk facial areas. This study details two successful cases for periocular squamous cell carcinomas, highlighting planning and teamwork for optimal outcomes.
Area of Science:
- Dermatologic Surgery
- Surgical Oncology
Background:
- Rotation advancement flaps present significant challenges in dermatosurgery, particularly for severe cases involving skin tumors in high-risk facial areas.
- The proximity of these facial regions to vital structures necessitates high precision during surgical manipulation.
Purpose of the Study:
- To present two clinical cases of squamous cell carcinomas in the periocular and periorbital areas treated with rotation advancement flaps.
- To discuss potential complications and essential prerequisites for successful outcomes in these challenging surgical interventions.
Main Methods:
- Case study presentation of two patients with squamous cell carcinomas.
- Surgical treatment utilizing rotation advancement flaps in the periocular and periorbital regions.
- Emphasis on preoperative planning and interdisciplinary teamwork.
Main Results:
- Successful treatment of squamous cell carcinomas in the periocular and periorbital areas using rotation advancement flaps.
- Demonstration of the efficacy of meticulous planning and teamwork in achieving therapeutic goals.
- Identification of key factors contributing to successful surgical outcomes.
Conclusions:
- Rotation advancement flaps can be effectively employed for treating squamous cell carcinomas in challenging periocular and periorbital locations.
- Thorough preoperative planning and collaborative teamwork are critical for managing complex cases and ensuring favorable results.
- Understanding potential challenges and prerequisites is essential for optimizing the success of these reconstructive procedures.

