Perforator plus supraclavicular flap for reconstruction following resection of extensive recurrent basal cell carcinoma of face: a case report

Basal cell carcinomas are common facial malignancies with minimally invasive treatment approaches effective in the majority of cases. Recurrent aggressive lesions pose significant challenges and need wide local excision with major reconstruction. Geriatric patient with multiple comorbidities needs customized reconstructions to minimize morbidity. We present a case of longstanding invasive confluent basal cell carcinoma involving right cheek, ear lobule, and retroauricular area. The perforator plus variant of supraclavicular flap was successfully used for closure of the large defect.