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Esperienze Dermatologiche 2016 March;18(1):27-9

Copyright © 2016 EDIZIONI MINERVA MEDICA

language: English

Reconstruction of a large defect on the dorsal nose with a combined island pedicle flap technique

Roberto CECCHI, Laura BARTOLI, Luigi BRUNETTI, Giovanni TROIANO

Operative Unit of Dermatology, Pistoia Hospital, Pistoia, Italy


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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.

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