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Article Details
Case Report
Volume 4, Issue 11 (November Issue)

Repair of a Large Defect of the Nose with a Dermal Regenerative Template after Mohs Surgery Treatment for Skin Cancer

Venturi Michela*, Orlandi Catuscia, D’Acunto Carmine and Melandri Davide

Dermatology Unit and Burn Center, Azienda Unità Sanitaria Locale (AUSL) Romagna, Bufalini Hospital, Cesena, Italy

*Corresponding author: Venturi Michela, Dermatology Unit and Burn Center, Azienda Unità Sanitaria Locale (AUSL) Romagna, Bufalini Hospital, Cesena, Italy.
E-mail: michela.venturi@auslromagna.it

Received: October 14, 2022; Accepted: October 25, 2022; Published: November 20, 2022

Citation: Michela V, Catuscia O, Carmine DA, Davide M. Repair of a Large Defect of the Nose with a Dermal Regenerative Template after Mohs' Surgery Treatment for Skin Cancer. Clin Image Case Rep J. 2022; 4(11): 273.

Abstract

Invasive cutaneous squamous cell carcinoma (cSCC) is a common skin cancer in the white populations accounting for 20% of keratinocyte carcinomas. The first-line treatment for primary cSCC is surgical excision with postoperative margin assessment or microscopically controlled surgery. In the elderly with multi-morbidities the treatment should be carefully pondered, in order to gain oncologic safety with the minimal invasiveness and related complications. We faced a cSCC of the nose in 86-year-old man with an advanced approach, combining Mohs’ surgery with a biologically engineered material (the double layer dermal regenerative matrix Integra®) and subsequent skin graft. This technique offers a novel valid surgical and reconstructive option, decreasing the duration of hospitalization and avoiding secondary morbidity and complications with otherwise excellent postoperative cosmetic and functional results and oncologic safety.

Keywords: Skin cancer; Dermal regenerative template; Mohs' surgery