Reconstruction of a sacral defect with bilateral gluteus maximus V-Y advancement flap following resection of squamous cell carcinoma (Marjolin's ulcer)

Abstract

The incidence of squamous cell carcinoma arising from pressure ulcers has been reported to be as low as 0.5%. Malignant transformation arising from pressure ulcers is frequently overlooked as they often present with invasive infections. This results in wide defects post-excision which may not be amicable to reconstruction with conventional locoregional flaps. Through this case report, we discuss the versatility of using the bilateral gluteus maximus V-Y advancement flap following resection of sacral squamous cell carcinoma (Marjolin's ulcer).

Keywords

• marjolins ulcer
• sacral defect reconstruction
• v-y advancement of gluteus maximus flap