A 67-year-old woman with a history of nonmelanoma skin cancers of the head presented for treatment of basal cell carcinoma of the cheek and lateral nasal sidewall.
Given the size, location, and ill-defined margins of the tumor, Mohs micrographic surgical excision was indicated. The first-step margins were evaluated according to the Breuninger guidelines (slow Mohs), with paraffin-embedded pieces and staining with hematoxylin and eosin.
The final defect was geometric and measured 7.5 × 5.0 cm in size at the greatest diameter . How would you repair this defect?
CITATION Dermatol Surg. 2010;36(1):123-7
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