A 60-year-old woman was referred to the Mohs surgery unit of the Sant Pau Hospital in March 2000 for the treatment of a tumor of the alar rim and tip of the nose. Histopathological examination showed a sclerodermiform basal cell carcinoma.Four stages of Mohs surgery were needed to excise the entire tumor, which involved part of the nasal cartilage and nasal mucosa, resulting in a full-thickness defect (Figure 1). How would you proceed in this case?
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