Turkish Journal of Geriatrics
2014 , Vol 17, Issue 3
APPLICATION OF FREE FLAP IN AN ELDERLY PATIENT
Katip Celebi University School of Medicine, Ataturk Training and Research Hospital, Plastic, Reconstructive and Aesthetic Surgery Ä°ZMÄ°R
The incidence of skin cancers is increasing parallel to other cancers, with a growing elderly population.
Surgery continues to be the gold standard, although many other therapeutic methods
are available for the treatment of skin cancers. In surgical treatment, all steps of reconstructive
surgery can be employed, and the method to be selected should yield satisfactory cosmetic
and functional outcomes. Free flaps are at the very top of the reconstructive steps, due to prolonged
operation time and the necessity of employing a specific technique. On the other hand,
free flaps are the first line of treatment in certain cases where cosmetic and functional concerns
prevail. In elderly patients, however, free flaps are often not preferred due to prolonged operation
time. The current case report presents a 96-year-old female patient who was admitted to
our clinic due to squamous cell carcinoma and who subsequently underwent reconstruction
using a free radial forearm skin flap. Examples from the literature were highlighted in which proper
patient management in the preoperative, intraoperative, and postoperative period will produce
fewer concerns regarding free flap surgery in the elderly population.
Keywords :
Aged; Skin Neoplasms; Free Tissue Flaps