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Case Reports
. 2024 Mar 13;16(1):70-74.
doi: 10.1159/000535976. eCollection 2024 Jan-Dec.

Repair of a Large Nasal Ala and Medial Cheek Defect: Case Report

Hannah E Myers  1 , Ashley A Kessler  2 , Michael Roberts  2 , Christopher Buckley  2
Affiliations
Case Reports

Repair of a Large Nasal Ala and Medial Cheek Defect: Case Report

Hannah E Myers et al. Case Rep Dermatol. .

Abstract

Introduction: Mohs micrographic surgery is a complex but essential aspect of functional and cosmetic skin cancer removal. It allows for skin cancers to be removed from cosmetically challenging areas in the most efficient and effective possible method; however, closure of these lesions can be difficult.

Case: An 80-year-old male presented for Mohs surgery of a basal cell carcinoma on the right nasal sidewall that measured 3.4 cm. The patient underwent seven stages of Mohs surgery, and the final defect measured 6.5 cm × 5.5 cm, resulting in a large area for closure with multiple cosmetic and functional units affected.

Discussion: This case discusses options for complex closure of large defects on the nose and the reasoning behind the final choice in closure.

Keywords: Case report; Dermatologic surgery; Mohs surgery; Skin cancer.

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Conflict of interest statement

The authors have no disclosures and no conflicts of interest to declare.

Figures

Fig. 1.
Fig. 1.
View of the defect after Mohs micrographic surgery.
Fig. 2.
Fig. 2.
View of the surgical site immediately after reconstruction.
Fig. 3.
Fig. 3.
Reconstructive outcome. Patient seen 3 months postoperatively.
See this image and copyright information in PMC

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Publication types