A Case of Large Temple Defect Reconstruction at the Temple Using Splitted Full Thickness Skin Graft
- Author:
Chan Ho NA
1
;
Jae Hyeong SEO
;
In Ho BAE
;
Hoon CHOI
;
Bong Seok SHIN
;
Min Sung KIM
Author Information
1. Department of Dermatology, Chosun University College of Medicine, Gwangju, Korea
- Publication Type:Case Report
- From:Korean Journal of Dermatology
2025;63(2):61-63
- CountryRepublic of Korea
- Language:English
-
Abstract:
There are various methods for reconstructing defects caused by Mohs micrographic surgery (MMS). However, there are limits to the reconstruction methods that can be used if the defect is large. An 85-year-old woman presented with a 2.4×2.2 cm hyperkeratotic plaque on her right temple for 2 years. A skin biopsy was performed for a diagnosis. Histopathology confirmed squamous cell carcinoma, and MMS was performed to completely remove the tumor. A total of three MMS stages were performed intraoperatively to confirm margin clear, resulting in a skin defect measuring 5.0×4.5 cm. To reconstruct the large defect, a splitted full thickness skin graft was performed, taking into account the site, size, and function of the defect. Each skin graft was harvested from the submental area and a tie-over bolster dressing was applied to the recipient site. To date, the surgical site has remained free of surgical complications or tumor recurrence.
