Large Postauricular Defects

Abstract

The authors have indicated no significant interest with commercial supporters. A healthy 73-year-old-man presented to the clinic with an ulcerated nodular basal cell carcinoma (BCC) in his left postauricular sulcus measuring 3.8 by 3.0 cm. Tumor clearance required two stages of Mohs micrographic surgery and resulted in a 5.3-by 4.2-cm defect down to bone (Figure 1). How would you reconstruct this defect? Figure 1. Preoperative ulcerated nodular basal cell carcinoma on the left postauricular sulcus.