Figure - PMC

Skip to main content

An official website of the United States government

Here's how you know

Here's how you know

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock ( ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

View full-text article in PMC

letter

. 2020 Jun 4;34(8):e370–e372. doi: 10.1111/jdv.16621

Search in PMC
Search in PubMed
View in NLM Catalog
Add to search

© 2020 European Academy of Dermatology and Venereology

This article is being made freely available through PubMed Central as part of the COVID-19 public health emergency response. It can be used for unrestricted research re-use and analysis in any form or by any means with acknowledgement of the original source, for the duration of the public health emergency.

PMC Copyright notice

Example of how surgical trainees practise dermatologic surgery with a simulator (Diaphanous Zsa Zsa, DermSurg Scientific). In this example, surgical trainees were given a hypothetical case scenario in which the patient was going to have a wide‐margin excision surgery for a basal cell carcinoma in three different locations: forehead, nose and cheek. After the session, trainees and professor have a discussion session to improve flap designs and repair methods of the hypothetical case. (a) A 1‐cm cutaneous malignancy in the forehead above the right eyebrow is drawn with a 4‐mm excision margin. (b) O‐T flap is designed for reconstruction. Standing cutaneous deformity (SCD) was drawn for excision. (c) Bilateral unipedicle advancement flaps are combined to repair defect resulting in horizontally oriented H‐shaped wound closure (H‐plasty). Burrow triangles were drawn for excision for flap advancement. (d) A 0.70‐cm cutaneous malignancy in the nose involving lateral wall and alar lobule was drawn with a 4‐mm excision margin. (e) Design of a bilobed flap for reconstruction with SCD was drawn. (f) A modified rotation dorsal flap is drawn. A back cut for flap advancement is shown. (g) A 0.9‐cm cutaneous malignancy in the mandibular location is drawn. (h) The classic rhombic flap (Limberg) with a 4‐mm margin is designed to repair the defect. (i) An island advancement flap with a skin pedicle is designed to repair the defect.