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Roberto CECCHI, Laura BARTOLI, Luigi BRUNETTI, Giovanni TROIANO
Operative Unit of Dermatology, Pistoia Hospital, Pistoia, Italy
We report the case of an 80-year-old man with a large basal cell carcinoma on the nasal dorsum. The tumor was excised with modified Mohs micrographic surgery, according to the Tübingen technique (fresh-frozen procedure), to achieve a complete surgical margin control. The residual defect was restored with a combination of three island pedicle flaps. No complications were observed postoperatively. Satisfactory functional and aesthetic outcomes were apparent 1 month after surgery. This combined procedure showed to be a valid and easy solution for the reconstruction of a large skin defect in a site notoriously problematic to restore.