The dorsum of the hand is home to tumors that often require a surgical approach. Due to limited cutaneous mobility, wide surgical wounds become a challenge to dermatologic surgeons. The authors report the case of a patient with a tumor in the dorsal region of the left hand that, after removal with a safety margin, resulted in a wide surgical wound, and in the choice of reconstruction with an A-T flap. Six months later, the patient was cured, with total preservation of the hand's mobility and excellent aesthetic results. The concept of using flaps for closing wide surgical wounds, whenever possible, is reinforced.

Keywords: HAND, NEOPLASMS, SURGICAL FLAPS.

Skin cancer is the main neoplasia in both men and women. Basal cell carcinoma is the primary type of head and neck tumor, comprising 25% of nasal tumors. The treatment of choice is exeresis, which often presents a challenge to the dermatologic surgeon, who must achieve an oncologic cure along with a good aesthetic result. The options for nasal reconstruction are diverse, and some are high in complexity, preventing their common use. The authors present the reconstruction of the nasal dorsum using a flap from de glabellar area, a safe procedure with low surgical complexity and performed in a single step, making it a good option for large lesions of the nasal dorsum.

Keywords: SURGICAL FLAPS; NOSE; CARCINOMA, BASAL CELL.