Reconstruction of acquired ear defects with transauricular flaps.

Retroauricular flaps based superiorly, inferiorly, or posteriorly may be tunneled through the ear to close a variety of acquired ear defects in a single-stage procedure. The technique is particularly helpful for larger, nonmarginal deformities in which both skin and perichondrium have been excised.

Primary cutaneous squamous-cell carcinoma on the face: penetration to the base of the brain.

A recurrent squamous-cell carcinoma that was found clinically to have metastasized to regional lymph nodes was managed by a surgeon skilled in Moh's techniques, a plastic surgeon, and a radiotherapist in a premeditated plan. The malignancy was further found to have extended to the base of the brain. As much surgery as was deemed feasible, still short of complete ablation of the malignancy, was performed. Radiotherapy to the neck prior to radical lymphadenectomy and to the base of the brain subsequently was administered. After one year of follow-up, the patient is well, though prognosis is guarded.

Osteomyelitis complicating Mohs' chemosurgery.

We report a case of osteomyelitis complicating Mohs' surgery for recurrent basal cell carcinoma of the forehead. The need for immediate versus delayed repair after this type of surgery is discussed. It is evident that open, bone-exposed defects allowed to heal by secondary intention require meticulous wound care and follow-up.

Multiple pyogenic granuloma-like lesions following hair transplantation.

Multiple pyogenic granuloma-like lesions occurring at punch graft sites are an unusual complication of hair transplantation heretofore unreported. While the etiology and pathogenesis of such lesions remain elusive, physicians performing hair transplantations should be aware of this potential sequela.