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Ralph A. Massey, MD; Yehuda D. Eliezri, MD
Department of Dermatology, Columbia University, New York, NY

Arch Dermatol. 1998;134:13-15.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A man in his late 70s was referred for Mohs micrographic surgery (MMS) of a large, ulcerating basal cell carcinoma of his right ear. On physical examination, the ulceration involved the entire concha up to the lateral edge of the external auditory meatus and the triangular fossa (Figure 1). The auricle was clinically unaffected.

Figure appears in full text version. Figure 1. Ulcerative basal cell carcinoma of the concha and triangular fossa.

THERAPEUTIC CHALLENGE

Gaining adequate visual exposure and mechanical access to tumors arising in the conchal bowl area can be difficult. Having a surgical assistant flatten the natural concavity of the bowl with pressure from behind may be of some help. Furthermore, the use of an angled beaver blade may improve the maneuverability of the scalpel in this tight space.¹ However, even with these adjunctive measures, surgery in this area can be challenging. Mohs micrographic surgery, which . . . [Full Text of this Article]

SOLUTION

COMMENT