LAUSR

A63-year-old gentleman presented for Mohs micrographic surgery (MMS) for a 0.1 cm · 0.3 cm dermatofibrosarcoma protuberans of the central forehead. The tumor had extensive subclinical spread and tumor clearance was achieved with 6 stages of MMS over 2 days. This resulted in a surgical defect measuring 7.0 cm · 6.9 cm. The surgical defect was full thickness, involving the entire epidermis, dermis, and subcutaneous tissue, and the majority of the periosteum, and involved the central third of the forehead from the supraorbital region to the anterior hairline (Figure 1). In the lateral segments of the remaining forehead, sensation was intact and residual frontalis function was present. How would you reconstruct this defect?