PMC10399488_01
This Aggressive group BCC involved the mimic muscles, resulting in extended resection of the right nasal ala, including the greater alar cartilage and a partial anterior wall of the maxilla. The nasal cavity and right maxillary sinus were exposed at the resection surgery.
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The nasal cavity and right maxillary sinus were exposed accordingly (Figure 1).
The lateral femoral circumflex artery and vein (LCFAV) was anastomosed with the facial artery and vein in an end-to-end manner, and the distal end of the descending branch was additionally anastomosed with the superficial temporal artery and vein.
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The lateral femoral circumflex artery and vein (LCFAV) was anastomosed with the facial artery and vein in an end-to-end manner, and the distal end of the descending branch was additionally anastomosed with the superficial temporal artery and vein (Figure 2).
The flap was successfully taken and thinning of the flap was performed at 6 months after surgery in order to improve the shape of the nostrils and nasal ala. Further revision of the nasal configuration, including cartilage grafting, will be scheduled in the future.
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Further revision of the nasal configuration, including cartilage grafting, will be scheduled in the future (Figure 3).
Pathological images of the trichoepithelioma lesions are shown.
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There was no lacunar formation between the follicle and the surrounding mesenchyme, which was a finding of trichoepithelioma (Figure 4).
Pathological images of the basal cell carcinoma lesions are shown.
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The mimic muscle layer was also involved, but we secured a negative surgical margin (Figure 5).