Clinical Example: Nail fold skin graft following excision basal cell cancer

The nail fold is a tricky area for reconstruction. This patient had a recurrence of basal cell carcinoma after prior excision and skin graft. Here, the surface of the nail fold was re-excised and grafted.

 
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Recurrence is at the reddish lower edge of the prior graft.
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Intraoperative frozen section specimens confirmed extension along the lateral nail fold, which was excised further after this picture was taken.
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Skin graft over the very thin remaining deep surface of the nail fold, primary closure of the lateral nail fold excisional defect.
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Eight months after surgery.
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