title: Salvage of a Necrotic Flap.
abstract: OBJECTIVE
  To report the case of a 68-year-old woman with a skin basal cell carcinoma on the nasal dorsum. After excision, the soft tissue defect was reconstructed using a rectangular advancement flap. However, 2 days later skin necrosis was observed. This report was issued to advise how to avoid and manage skin necrosis after regional flap placement.
  
  
  METHODS
  This is a retrospective study.
  
  
  RESULTS
  Superficial skin necrosis recovered completely after proper medical management.
  
  
  CONCLUSIONS
  When planning an advancement flap, care should be taken to design the flap properly and not to injure flap blood supply to avoid skin necrosis. In addition, surgeons should be aware of the difference between superficial and total flap necrosis.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Gil Medical Center, Gachon University, Incheon, Republic of Korea.
authors.forename: Joo Hyun
authors.initials: JH
authors.lastname: Jung
authors.forename: Seon Tae
authors.initials: ST
authors.lastname: Kim
authors.forename: Sang Hee
authors.initials: SH
authors.lastname: An
authors.forename: Kwang Ha
authors.initials: KH
authors.lastname: Moon
authors.forename: Hyoung Min
authors.initials: HM
authors.lastname: Park
authors.forename: Il Gyu
authors.initials: IG
authors.lastname: Kang
mesh_terms: D000368:Aged; D002280:Basal Cell Carcinoma / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D009336:Necrosis / Q000209:etiology / Q000473:pathology / Q000628:therapy; D009669:Nose Neoplasms / Q000473:pathology / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology / Q000473:pathology / Q000628:therapy; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D016879:Salvage Therapy / Q000379:methods*; D012878:Skin Neoplasms / Q000473:pathology / Q000601:surgery; D013524:Surgical Flaps / Q000098:blood supply / Q000473:pathology; D016896:Treatment Outcome