ABSTRACT

Among the most challenging issues in Mohs surgery is reconstruction of large cutaneous defects after tumor resection. Primary closure may not be possible secondary to distortion of facial features or sheer tension across wound edges. Second-intention healing is somewhat labor intensive for the patient and may take weeks to months for completion. In such instances, full-thickness skin grafts (FTSGs) are the ideal option. They may offer an advantage over split-thickness grafts in that they are less likely to contract (1). Also, they are more likely to match surrounding tissue with regard to texture and color.