Modified H-plasty in large basal cell carcinoma defect reconstruction on the forehead: a case report

Abstract

Basal cell carcinoma (BCC) is the most common malignancy worldwide. Surgical removal is considered the gold standard treatment. However, large defects following excisional surgery can pose a significant challenge for reconstruction, especially in cases where primary closure is not possible. In which, the use of skin flaps may be utilized. Most traditional skin flaps are limited by design to take advantage of only one region of relative skin excess. This paper reports a case of a large forehead defect following BCC excision which was successfully reconstructed by a modified H-plasty involving a U-plasty and rotation-advancement flap. Maintenance of the aesthetics without impaired function is the aim of closure defect with combined flaps.

Keywords

• basal cell carcinoma
• skin defect
• cosmetic unit
• reconstruction
• combined flap