Use of rhomboid flap after a wide excision of skin and soft tissue malignancy in the scalp (occipital area)
Preliminary planning and drawing
Recurrent malignancy, left posterior auricular area
Outline of elliptical incision with margin around the tumor – around 1 cm.
Outline of rhomboid flap
Incision adjusted to a rhomboid with planning of rhomboid flap
Some tentative planning for dog ears.
After wide excision of the malignancy – with resultant scalp defect – about 3.5 cm wide (transverse axis).
Creation of the rhomboid flap
Rhomboid flap rotated to the main scalp defect.
Temporary guide sutures placed.
Wound repaired and closed with internal sutures with a rubber drain.
Wound repair completed with external sutures.
Specimen view from the surface.
Cut section of the specimen showing the two tumors.