PMC9481077_01
A 65-year-old male presented with basal cell carcinoma. Oncologic resection produced a 48 cm2 (8 cm x 6 cm) wound with exposed calvarium without periosteum.
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The patient underwent resection of the affected area, which produced a large 48 cm2 (8 cm x 6 cm) wound (Figure 1).
The patient underwent H-type flap advancements with a superior incision along the hairline. At the 2-week follow-up, the patient demonstrated partial flap necrosis due to a lack of tissue and excess tension.
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At 2 weeks post-operative follow-up, the patient demonstrated partial flap necrosis (Figure 2).
A diagram demonstrating the appropriate application of the DermaClose device.
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The tension line was laced around the skin anchors in a "VMW" pattern (Figure 3).
Delayed primary closure was achieved after external tissue expansion for 7 days.
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After 7 days, tissue expansion allowed for delayed primary closure (Figure 4).
At the 12-week follow-up, the patient demonstrated excellent aesthetic results with minimal scarring.
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At a 12-week post-closure follow-up, the patient demonstrated excellent aesthetic results with minimal scarring and full sensation in the area (Figure 5).