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DERMATOLOGIC SURGERY REPORT

INDICATIONS: Repair of defect from Mohs micrographic surgery.

PREOPERATIVE DIAGNOSIS:  Defect measuring 5 x 7 mm of the left nasal wall from removal of basal cell carcinoma with Mohs micrographic surgery.

POSTOPERATIVE DIAGNOSIS:  Defect measuring 5 x 7 mm of the left nasal wall from removal of basal cell carcinoma with Mohs micrographic surgery.

PROCEDURE:  Repair of defect with a rhomboid transpositional flap.  After informed consent, the patient was placed on the operating table, sterilely prepped and draped. After infiltration with 1% lidocaine with epinephrine, the bevel of microsurgical excision was removed.  A rhomboid-shaped flap was incised adjacent and proximal to the defect.  A Burow's triangle was removed at the lateral pole of the defect.  Flap was widely undermined, transposed, sutured with 3-0 Vicryl and 6-0 Prolene sutures.  Patient will follow up in one week for suture removal.