MEDIALLY BASED SKIN FLAP
The classical incisions for mandibulectomy and maxillectomy are medial with laterally based flaps
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They function very well in most cases, but when it comes to the huge “African size” tumors there is a risk that the medial part of the flap will necrotize due to embarrassed blood supply caused by the extensive dissection necessary to remove a large tumor. Then you will face a major catastrophe as the following pictures show
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With large tumors a lateral incision with a medially based flap is therefore preferable
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After removal of the tumor the skin surplus can easily be excised ……
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…and if necrosis of the flap occurs the problem is easily solved and the complication will not cause any further disfigurement of the face.
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