The Full-thickness Forehead Skin Graft for a Nasal Ala Defect / 대한피부과학회지

Skin cancers require excision and reconstruction for achieving optimal functional and cosmetic results. There are numerous reconstructive options, which include primary repair, secondary intention healing, a local flap and a skin graft. Generally, a full-thickness skin graft is not considered applicable for reconstructing a nasal defect because a local flap is thought to be a superior alternative to a skin graft due to the unique nature of the lower third of the skin, which is often thick and fixed to the adjacent structures. But a defect on a lower third of the nose that includes the nasal ala can be well reconstructed by a skin graft in some cases. The donor site options include the preauricular, postauricular and supraclavicular areas etc. But in some cases, the forehead skin is a good match with the nasal ala area. We herein report the case of a 69-year-old female with a nasal ala defect that was induced by excision of basal cell carcinoma. The patient was reconstructed with a full-thickness skin graft using the redundant skin of the forehead.

A Case of Cutaneous Larva Migrans on the Neck without a History of Travel to an Endemic Area / 대한피부과학회지

Cutaneous larva migrans is a characteristic serpiginous creeping eruption that is caused by the migration of the larval form of neomatodes in the skin. It is caused by hookworm larvae, which are present in the feces of infected dogs and cats. The skin lesions progressively evolve at a rate of 2~3 cm daily. Most cases have a travel history to tropical and subtropical countries, but our patient had no travel history to an endemic area and no contact history with the feces of dogs and cats. We report herein on a case of cutaneous larva migrans on the neck and the patient did not have a travel history to an endemic area and the lesions showed relatively rapid progression.