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May 1991

Freehand Skin Grafts Using the Shave Technique

Author Affiliations

Mohs Surgery Clinic, University of Wisconsin, Madison

Arch Dermatol. 1991;127(5):633-635. doi:10.1001/archderm.1991.01680040041003

A 53-year-old man had an erythematous sessile lesion on the left antihelix; its size was 5 by 7 mm in diameter. The lesion had been present for several months. No history of previous treatment was elicited. The biopsy specimen showed the lesion to be a superficial basal cell carcinoma. In excising the tumor, the surgical resection included the perichondrium of the antihelical cartilage. The overall size of the defect measured 9 by 11 mm. While frozen sections of the tissue were processed in the manner of Mohs micrographic surgery, the wound was dressed with ointment (Polysporin, Burroughs Wellcome, Research Triangle Park, NC) for occlusion and covered with a small piece of nonstick dressing.

DIAGNOSIS  Excision of basal cell carcinoma of the antihelix of the left ear with resection of the underlying perichondrium.

THERAPEUTIC CHALLENGE  Wound healing by second intention over exposed cartilage is very slow and may be fraught with chondritis. Thus, whenever possible it is advisable to close defects overlying cartilage. The limited mobility of surrounding skin may

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