PMC4919112_01
PMC4919112_02
(A) Patient #2; full-thickness skin necrosis over the left medial canthus. (B) Patient #3; full-thickness skin necrosis over the left medial canthus.
nihms397483f1.jpg
PMC4919112_03_nihms397483f1.jpg
F1
By 5 weeks, she had developed full-thickness tissue necrosis in the left medial canthal region (see Figure 1B).
(A) Patient #2; recurrence of skin necrosis following reconstruction. (B) Patient #3; recurrence of skin necrosis following the first reconstruction attempt.
nihms397483f2.jpg
PMC4919112_03_nihms397483f2.jpg
F2
There was breakdown of the flap at 6 weeks following her repair, and the patient elected to undergo a second repair, this time with an advancement flap at 7 weeks post-TCDR (see Figure 2B).
PMC4919112_03
(A) Patient #2; full-thickness skin necrosis over the left medial canthus. (B) Patient #3; full-thickness skin necrosis over the left medial canthus.
nihms397483f1.jpg
PMC4919112_03_nihms397483f1.jpg
F1
By 5 weeks, she had developed full-thickness tissue necrosis in the left medial canthal region (see Figure 1B).
(A) Patient #2; recurrence of skin necrosis following reconstruction. (B) Patient #3; recurrence of skin necrosis following the first reconstruction attempt.
nihms397483f2.jpg
PMC4919112_03_nihms397483f2.jpg
F2
There was breakdown of the flap at 6 weeks following her repair, and the patient elected to undergo a second repair, this time with an advancement flap at 7 weeks post-TCDR (see Figure 2B).
Patient #2; recurrence of skin necrosis following the second reconstruction attempt.
nihms397483f3.jpg
PMC4919112_03_nihms397483f3.jpg
F3
By 2 weeks following the second reconstruction, the patient again experienced flap breakdown, and it was decided to allow the wound to granulate (see Figure 3).