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A Journal on Dermatology

Journal of Istituto Dermatologico San Gallicano
Official Journal of the Associazione Dermatologi Ospedalieri Italiani - A.D.O.I.
Indexed/Abstracted in: EMBASE, Scopus



Esperienze Dermatologiche 2013 June;15(2):91-3

language: English

Double helix flap for the repair of a large leg defect

Cecchi R., Fancelli L., Troiano L. M.

Unità Operativa di Dermatologia, Ospedale di Pistoia, Pistoia, Italia


We report the case of a 72-year-old man, who presented a nodular ulcerated basal cell carcinoma measuring approximately 5 cm in diameter on the lateral aspect of the right leg. The lesion was excised with modified Mohs micrographic surgery, according to the Tübingen technique (fresh-frozen procedure), to warrant a complete surgical margin control. The residual defect was closed with two adjacent helix flaps, that were advanced and rotated upon themselves to cover completely the skin loss. No relevant complications were observed postoperatively. There was only a superficial tip necrosis of both flaps, which healed within 3 weeks with local medications. Satisfactory surgical outcome was apparent 3 months after surgery. The double helix flap procedure showed to be a valid and easy solution for the closure of a large skin defect in a body region notoriously problematic to restore.

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