ABSTRACT

Observations:

Closure of irregular surgical defects that occur following wide excision of cutaneous malignancies has proven to be difficult. In large surgical defects, where primary closure cannot possible, leaving the defect for secondary healing not only delays the healing process, but also results in worse outcome cosmetically. In such cases, grafts or flaps are required to close the wound. The surgeon should choose the least complicated method that would yield the most functional and cosmetic outcome. Here, “dog-ear” formed at the margin of the defects were used as a graft after excision of basal cell carcinomas in two cases.