PMC9937011_01
Radical resection residual defect and cheek flap which is rotating to restore the cheek area.
ICRP_A_2178924_F0001_C.jpg
PMC9937011_01_ICRP_A_2178924_F0001_C.jpg
F0001
In the first picture the shark flap was harvested and just before insetting phase. Arrows are showing the trasposition movements from donor to recipient site. In the second one the two main vascular area were highlighted - green: standard IMAP flap; blu: random area base on connections between TAP and IMAP.
ICRP_A_2178924_F0002_C.jpg
PMC9937011_01_ICRP_A_2178924_F0002_C.jpg
F0002
The 'fin' of the shark flap was rotated clockwise in the safest direction and sutured to wound margins to close the defect (Figures 2 and 3).
Immediate post-operative.
ICRP_A_2178924_F0003_C.jpg
PMC9937011_01_ICRP_A_2178924_F0003_C.jpg
F0003
The 'fin' of the shark flap was rotated clockwise in the safest direction and sutured to wound margins to close the defect (Figures 2 and 3).
4-month follow-up - no local complications and acceptable aesthetic result.
ICRP_A_2178924_F0004_C.jpg
PMC9937011_01_ICRP_A_2178924_F0004_C.jpg
F0004
At 4-month postoperatively the patient underwent a follow-up MR without any radiological sign of persistence of disease (Figure 4).