Clinical Presentation An 89-year-old White male developed a recurrent squamous cell cancer (SCC) over his right upper lateral neck with a large, ulcerated lesion. He had an SCC resection in the same area many years before. The patient was referred…
Clinical Presentation A 30-year-old White female sustained severe neck contracture from a previous burn injury about 5 years ago. She had excision of the deep burn wound and skin grafting in a local hospital but unfortunately developed severe anterior neck…
Case 1 Clinical Presentation An 18-year-old man fell off a moving vehicle and was then struck by the same vehicle. He was intubated and was in critical condition. Initial injuries included an open skull fracture with exposed intracranial contents, scalp…
Case 1 Clinical Presentation A 58-year-old White female had a 4 × 4 cm skin lesion of cancerous appearance above her central lower lip ( Fig. 9.1 ). She underwent a local excision of the lower lip lesion with a 5-mm margin by…
Clinical Presentation A 58-year-old White female sustained a dog bite to her nasal tip. Apparently, she lost a significant amount of nasal tip cartilage and also had a sizable nasal skin defect. After a period of local wound care, the…
Case 1 Clinical Presentation A 24-year-old Hispanic male sustained a human bite on his right ear. He had a partial ear amputation involving the helical rim and a small portion of antihelix as well as their overlying skin ( Figs. 7.1…
Clinical Presentation A 77-year-old White female sustained necrotizing fasciitis in her right periorbital area secondary to facial trauma. She was initially seen by an oculoplastic surgeon and urgently referred to the plastic surgery service for more definitive surgical management. On…
Clinical Presentation A 40-year-old White male had previously sustained a gunshot wound to his mandible and left mandibular bony reconstruction was unsuccessful. He had a significant deformity of his left lower face and desired a “good” mandibular reconstruction, not only…
Case 1 Clinical Presentation A 19-year-old White male with right alveolar squamous cell carcinoma (SCC) of the mandible underwent local surgical excision of the alveolar edge and the floor of the mouth and a marginal mandibulectomy via a lower lip…
Case 1 Clinical Presentation A 51-year-old White male had a basal cell cancer over his left medial cheek and nasal sidewall. Mohs surgery was performed by our dermatological surgeon and the skin resection margins were all negative. The patient had…