1. Volume 68, Issue 1, Pages 53-59 (July 2007)
Use of a protein-based tissue adhesive as an aid for the surgical reconstruction of advanced and recurrent skin cancer tumors to the head and neck region: a technical report 
Leonardo Lustgarten, MD, Jose R. Abadi, MD, Radovan Sancevic, MD, Pedro Meneses, MD, Alberto Perez Morrel, MD, Joaquin Lugo, MD 
Surgical Neurology 
Volume 68, Issue 1, Pages (July 2007)
DOI: /j.surneu
Copyright © 2007 Elsevier Inc. Terms and Conditions

2. Fig. 1
Preoperative photograph (case 3) showing an invasive squamous cell carcinoma involving and destroying tissues of the right eyebrow, orbit, eye, nose, and cheek.
Surgical Neurology  , 53-59DOI: ( /j.surneu )
Copyright © 2007 Elsevier Inc. Terms and Conditions

3. Fig. 2
Preoperative photographs (case 5) in the supine position on a surgical horseshoe head holder viewed from the front (A) and lateral (B) showing an invasive squamous cell carcinoma.
Surgical Neurology  , 53-59DOI: ( /j.surneu )
Copyright © 2007 Elsevier Inc. Terms and Conditions

4. Fig. 3
Preoperative photographs viewed from the side (A) and back (B) of case 6 showing an impressive recurrent malignant schwannoma in the occipitocervical region.
Surgical Neurology  , 53-59DOI: ( /j.surneu )
Copyright © 2007 Elsevier Inc. Terms and Conditions

5. Fig. 4
Postoperative photograph (case 9) showing the complete radical resection. At completion of the procedure, the empty right orbit, the regional paranasal sinuses, and nose on the right are all exposed, leaving a significant dead space for reconstruction.
Surgical Neurology  , 53-59DOI: ( /j.surneu )
Copyright © 2007 Elsevier Inc. Terms and Conditions

6. Fig. 5
Postoperative photograph (case 3) after complete radical en bloc resection. The dura in the right frontal area, the empty right orbit, the regional paranasal sinuses, and nose are all exposed, leaving a significant dead space for reconstruction.
Surgical Neurology  , 53-59DOI: ( /j.surneu )
Copyright © 2007 Elsevier Inc. Terms and Conditions

7. Fig. 6
Transoperative views (case 6) during the skin flap and tumor resection (A). Note the aggressiveness of the tumor causing diffuse erosion and regional destruction of the bone (B), which was removed accordingly via an extensive craniectomy. Interestingly, preoperative cranial bone windows on CT scan showed no bone involvement.
Surgical Neurology  , 53-59DOI: ( /j.surneu )
Copyright © 2007 Elsevier Inc. Terms and Conditions

8. Fig. 7
Photograph (case 5) at completion of surgery showing complete radical resection of the lesion (A). This frontal view clearly shows the different anatomical planes from the surface to bottom: skin, subcutaneous tissue, bone, dura, and exposed brain, showing the extensive space to reconstruct. The complete en bloc specimen sent for pathology is shown (B).
Surgical Neurology  , 53-59DOI: ( /j.surneu )
Copyright © 2007 Elsevier Inc. Terms and Conditions

9. Fig. 8
Postoperative view (case 9) showing the abdominal free myocutaneous flap reconstruction covering a significant dead space.
Surgical Neurology  , 53-59DOI: ( /j.surneu )
Copyright © 2007 Elsevier Inc. Terms and Conditions

10. Fig. 9
Preoperative photograph (case 5) showing some drawn abdominal landmarks (A) for the intended abdominal myocutaneous free flap for reconstruction. Postoperative view (B) shows a viable and healthy free myocutaneous flap reconstruction in situ covering a significant dead space.
Surgical Neurology  , 53-59DOI: ( /j.surneu )
Copyright © 2007 Elsevier Inc. Terms and Conditions

11. Fig. 10 BioGlue Surgical Adhesive.
Surgical Neurology  , 53-59DOI: ( /j.surneu )
Copyright © 2007 Elsevier Inc. Terms and Conditions

12. Fig. 11
Close up preoperative view (case 6) showing a recurrent malignant schwannoma in the occipitocervical region. Note the multiple surgical scars from previous surgeries and radiation.
Surgical Neurology  , 53-59DOI: ( /j.surneu )
Copyright © 2007 Elsevier Inc. Terms and Conditions