case_images: PMC10399488_01
case_images: This Aggressive group BCC involved the mimic muscles, resulting in extended resection of the right nasal ala, including the greater alar cartilage and a partial anterior wall of the maxilla. The nasal cavity and right maxillary sinus were exposed at the resection surgery.
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case_images: PMC10399488_01_ICRP_A_2242494_F0001_C.jpg
case_images: F0001
case_images: The nasal cavity and right maxillary sinus were exposed accordingly (Figure 1).
case_images: The lateral femoral circumflex artery and vein (LCFAV) was anastomosed with the facial artery and vein in an end-to-end manner, and the distal end of the descending branch was additionally anastomosed with the superficial temporal artery and vein.
case_images: ICRP_A_2242494_F0002_C.jpg
case_images: PMC10399488_01_ICRP_A_2242494_F0002_C.jpg
case_images: F0002
case_images: The lateral femoral circumflex artery and vein (LCFAV) was anastomosed with the facial artery and vein in an end-to-end manner, and the distal end of the descending branch was additionally anastomosed with the superficial temporal artery and vein (Figure 2).
case_images: The flap was successfully taken and thinning of the flap was performed at 6 months after surgery in order to improve the shape of the nostrils and nasal ala. Further revision of the nasal configuration, including cartilage grafting, will be scheduled in the future.
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case_images: PMC10399488_01_ICRP_A_2242494_F0003_C.jpg
case_images: F0003
case_images: Further revision of the nasal configuration, including cartilage grafting, will be scheduled in the future (Figure 3).
case_images: Pathological images of the trichoepithelioma lesions are shown.
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case_images: There was no lacunar formation between the follicle and the surrounding mesenchyme, which was a finding of trichoepithelioma (Figure 4).
case_images: Pathological images of the basal cell carcinoma lesions are shown.
case_images: ICRP_A_2242494_F0005_C.jpg
case_images: PMC10399488_01_ICRP_A_2242494_F0005_C.jpg
case_images: F0005
case_images: The mimic muscle layer was also involved, but we secured a negative surgical margin (Figure 5).