Leaderboard Ad

Surgeons to Share Approaches for Scalp, Cheek Reconstruction

With the increase in skin cancer around the world have come more challenges in reconstructive surgery on patients who have cancer of the scalp, cheek, or ear. A Miniseminar today will feature five experienced surgeons sharing tips for their approaches to these complicated procedures.

“Advanced Skin Cancer of the Scalp and Cheek: Reconstructive Paradigms” will be presented from 1:00 pm-2:00 pm today in Ballroom C3. The moderator is Donald T. Weed, MD.

“This will be what I hope will be a helpful and informative conversation among very experienced people who deal with this problem a lot,” said Dr. Weed, Professor and Vice Chairman for Academic Affairs, Department of Otolaryngology, at the University of Miami Miller School of Medicine, Miami, FL. “For those who see this occasionally, these are pretty intimidating problems.

“For those of us who see this a lot, there are reasonably straightforward ways to approach these defects with simpler to more complicated options. We want to put them out there as something that would be helpful for people who want to hear about that.”

The format of the session will feature two panelists discussing defects of the cheek and ear, and two panelists focusing on the scalp. The two groups will discuss surgical approaches together, with Dr. Weed leading the conversation. They expect to review the impact of cancer resection on reconstruction, with a focus on microvascular free-flaps.

“Being sure you are doing the right reconstruction for the cancer patient is critical,” Dr. Weed said. “If a patient will likely have radiation, can we do a simple skin graft, or should we do something more complicated to help protect them for their subsequent treatment, if they have it? Trying to do too much with a particular flap might lead to a partial failure of the reconstruction, which in turn can cause critical delays in post-operative treatments for the cancer.

“How do we classify the defect from a reconstructive perspective, and then once we have classified that defect, how do we pair reconstructive options with that group of defect combinations in mind? Where is the tipping point for more complex microvascular reconstructions after we have reviewed some non-microvascular reconstructions as alternatives?”

Discussing the scalp in the session will be Brian A. Moore, MD, Chairman of Otorhinolaryngology and Communication Sciences at Ochsner Medical Center, New Orleans, LA; and Jason T. Rich, MD, Assistant Professor at Washington University, St. Louis, MO.

Discussing the cheek and ear will be Kevin M. Higgins, MD, MS, Associate Professor of Otolaryngology—Head and Neck Surgery and Chief of Head and Neck Surgery at Oddette Cancer Center, Sunnybrook Health Sciences Center, University of Toronto, Toronto; and David P. Goldstein, MD, surgeon at Princess Margaret Cancer Center, University Health Network, University of Toronto.

“What I hope people take away from this is that when they see a patient with one of these more advanced defects, they will think, ‘What is the most straightforward way for me to think about that? What are my options, and among those options, what am I able to do, what do I need to refer to somebody else, and how do we help these patients?’”