Squamous cell carcinoma is one of the most prevalent skin cancers, and it can appear in any burn scar. Its 
incidence ranges from 2% to 6%. A local fasciocutaneous advancement perforator flap based on the underlying 
perforator is known as a Keystone flap.1
 A transposition flap is raised from a laxity area, lifted over neighbouring 
tissue, and transplanted into a surgical wound. To mobilise and move tissue from a region of laxity to an area of 
necessity, adjacent laxity is used.2
 Delaying the conversion of the keystone flap to a transposition flap in our study 
resulted in good survival and a positive outcome.