Abstract
Mohs micrographic surgery (MMS) utilizes intra-operative histological assessment to maximize clearance of cutaneous malignancy while minimizing surgical defect size. [1–4] On cosmetically sensitive areas, most notably the face, transposition, advancement, and interpolation flaps and occasionally skin grafts are often utilized as repair techniques, despite potential for post-operative complications including bleeding, infection, impaired wound healing, and graft/flap loss.[1–5] Here we present a case of a large (6.5 cm by 3.5 cm) surgical defect on the cheek following MMS for the management of a morpheaform basal cell carcinoma and briefly review considerations regarding closure repairs, emphasizing linear closure as a reliable and successful option.
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