Playdough Surgery 🔪👃🏻 - Mohs surgery and Paramedian Forehead Flap

Playdough Surgery 🔪👃🏻 - Mohs surgery and Paramedian Forehead Flap
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This is a case my kid has been asking for - for months! I mentioned ONCE (in jest) that if he ever lost his nose we could make him a new one out of his forehead and he. was. intrigued.
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This two-step axial interpolation flap is used to reconstruct large defects of the nose, such as that created by a skin cancer. The flap includes the creation of a pedicle (bridge of tissue) that is allowed to remain for about ~l3 weeks, then removed after vascularity is well established between the wound and the flap.
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P.S. Squamous cell carcinomas are often painful dome-shaped nodules with a hard keratin-filled crater - ours was a bit of granola 🥴 which is, IMHO, less gross than when it cameo’ed as our earwax.
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Lastly, a friendly reminder from your neighborhood dermatologist: don’t forget your hat, sun protective clothing, and sunscreen this summer! ☀️
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Thank you to Dr. Jason Castillo @dermdocjason for his help with this case!
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Disclaimer: The following video is intended for entertainment/educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician with any questions you may have regarding a medical condition or treatment.
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