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

Hannah E Myers; Ashley A Kessler; Michael Roberts; Christopher Buckley

doi:10.1159/000535976

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

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

Authors

Hannah E Myers¹, Ashley A Kessler², Michael Roberts², Christopher Buckley²

Affiliations

¹ Medical College of Georgia, Augusta University, Augusta, GA, USA.
² Goodman Dermatology, WellStar North Fulton Medical Center, Roswell, GA, USA.

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.

Publication types

Case Reports

Grants and funding

Funding for publication of this manuscript was provided by Goodman Dermatology. Goodman Dermatology is the current or previous employer of 3 of the authors and provides funding to support the author’s academic endeavors. The authors have no other funding sources to declare.