Skip to main content

Palliative Surgery

  • 220 Accesses

Abstract

Facial defects following cancer excision may be too extensive for simple closure or local flaps. Pedicled or free flaps may be appropriate for these larger and more complex defects. Pedicle flaps are generally faster to raise, do not require specialised training or equipment and may be more appropriate for frail patients with multiple pre-existing co-morbidities. Pedicled flaps, however, may be limited in their anatomical reach, and the bulk of the pedicle may compromise the aesthetic outcome. Free flaps allow the movement of specific combinations of skin, soft tissue and bone for large and complex defects. Surgery may be extensive. Consideration of patient suitability, defect characteristics and surgeon skill and expertise will guide the selection of the most appropriate flap for the defect.

Keywords

  • Facial reconstructive surgery
  • Palliative
  • Free flap

This is a preview of subscription content, access via your institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • DOI: 10.1007/978-3-030-88334-8_15
  • Chapter length: 8 pages
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
eBook
USD   229.00
Price excludes VAT (USA)
  • ISBN: 978-3-030-88334-8
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
Hardcover Book
USD   299.99
Price excludes VAT (USA)
Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Reference

  1. Hayes EMT. Martin lecture. Advanced basal cell cancer: prognosis and treatment philosophy. Am J Surg. 1982;144(4):392–400. https://doi.org/10.1016/0002-9610(82)90410-x.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Rafael Acosta-Rojas .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and Permissions

Copyright information

© 2022 Springer Nature Switzerland AG

About this chapter

Verify currency and authenticity via CrossMark

Cite this chapter

Acosta-Rojas, R. (2022). Palliative Surgery. In: Burton, I., Klaassen, M.F. (eds) Atlas of Extreme Facial Cancer. Springer, Cham. https://doi.org/10.1007/978-3-030-88334-8_15

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-88334-8_15

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-88333-1

  • Online ISBN: 978-3-030-88334-8

  • eBook Packages: MedicineMedicine (R0)