A Retrospective Review of Reconstructive Options and Outcomes of 202 Cases Large Facial Mohs Micrographic Surgical Defects, Based on the Aesthetic Unit Involved

2015 ◽  
Vol 19 (6) ◽  
pp. 580-587 ◽  
Author(s):  
Anne C. van Leeuwen ◽  
Ayleen The ◽  
Sanne E. Moolenburgh ◽  
Ellen R.M. de Haas ◽  
Marc A.M. Mureau
Keyword(s):  
Multidisciplinary Approach ◽  
Facial Skin ◽  
Mohs Micrographic Surgery ◽  
Micrographic Surgery ◽  
Tumour Control ◽  
Aesthetic Unit ◽  
Facial Defects ◽  
The Aesthetic ◽  
Nasal Defects ◽  
Reconstruction Time

Background: For optimal treatment of facial defects following Mohs micrographic surgery (MMS), the aesthetic unit principles should be applied. Often multiple staged procedures and revisions are necessary. Objective: To analyze the reconstructive options and outcomes for complex facial defects per aesthetic unit. Methods: Data of 202 patients, who underwent a facial reconstruction at the department of plastic and reconstructive surgery following MMS, were collected. Results: The central facial units were affected in more than 70%, with over 20% of the defects involving more than 1 unit. Nasal defects required the longest reconstruction time (3-staged forehead flap) and periocular defects the most revisional procedures. In more than 50%, additional operations (range, 1-5) were needed. In 12%, postoperative complications occurred. Conclusion: An overview for the reconstructive options of extensive facial skin cancer is presented. Proper treatment requires a structured multidisciplinary approach in order to achieve excellent tumour control and a satisfactory aesthetic and functional end result.

Facial Reconstruction following Mohs Micrographic Surgery: A Report of 622 Cases

2014 ◽  
Vol 18 (4) ◽  
pp. 265-270 ◽  
Author(s):  
Eline C. Grosfeld ◽  
Jeroen M. Smit ◽  
Gertruud A. Krekels ◽  
Julien H.A. van Rappard ◽  
Maarten M. Hoogbergen
Keyword(s):  
Skin Cancer ◽  
Reconstructive Surgery ◽  
Multidisciplinary Approach ◽  
Patient Characteristics ◽  
Facial Reconstruction ◽  
Surgical Reconstruction ◽  
Mohs Micrographic Surgery ◽  
Micrographic Surgery ◽  
Plastic And Reconstructive Surgery ◽  
Aesthetic Unit

Background: Around 100 to 200 patients undergo surgical reconstruction every year at our department of plastic and reconstructive surgery after Mohs micrographic surgery for nonmelanoma skin cancer. Objective: The aim of this report is to provide an overview of the type of facial reconstructions performed and investigate whether we achieved increased, definitive closure rates of the defect on the day of the excision after further improving the collaboration between the involved departments. Methods: All patients who underwent facial reconstruction at the Department of Plastic and Reconstructive Surgery following Mohs micrographic surgery between January 2006 and January 2011 were retrospectively systematically reviewed. Results: A total of 564 patients with 622 defects were identified. The different reconstructions used per aesthetic unit are described. The number of cases in which a reconstruction was performed on the same day as the resection significantly increased from 31 to 81% ( p < .001). Conclusion: Facial reconstruction following Mohs micrographic surgery is challenging. The type of reconstruction used depends on the type of defect and patient characteristics. A structured multidisciplinary approach improves the process from defect to reconstruction and can facilitate referrals.

scholarly journals Mohs micrographic surgery for penile carcinoma with urethral invasion: A multidisciplinary approach

2020 ◽  
Vol 83 (6) ◽  
pp. 1803-1805
Author(s):  
Andres M. Erlendsson ◽  
Britney N. Wilson ◽  
Phyllis Bellia ◽  
William Phillips ◽  
Laura Leddy ◽  
...  
Keyword(s):  
Multidisciplinary Approach ◽  
Penile Carcinoma ◽  
Mohs Micrographic Surgery ◽  
Micrographic Surgery

Indications and Outcomes of Mohs Micrographic Surgery Using a Multidisciplinary Approach: A Decade of Experience

2020 ◽  
Vol 47 (1) ◽  
pp. 10-15 ◽  
Author(s):  
Weitao Wang ◽  
Joseph Lee ◽  
Shuyang Qin ◽  
Marc D. Brown ◽  
Timothy Doerr
Keyword(s):  
Multidisciplinary Approach ◽  
Mohs Micrographic Surgery ◽  
Micrographic Surgery

Mohs' Micrographic Surgery in Canada: Current Pattern of Practice

1997 ◽  
Vol 1 (3) ◽  
pp. 137-142
Author(s):  
Daniel Berg ◽  
J. Alastair Carruthers ◽  
Laurence M. Warshawski
Keyword(s):  
Multidisciplinary Approach ◽  
Mohs Micrographic Surgery ◽  
Micrographic Surgery ◽  
Current Pattern ◽  
University Of British Columbia ◽  
Secondary Intention ◽  
Skin Cancers ◽  
Almost All ◽  
The University ◽  
Nonmelanoma Skin Cancers

Background: Nonmelanoma skin cancers are the commonest human malignancies. Mohs' micrographic surgery is an important treatment for difficult nonmelanoma skin cancers. Little data exist on the use of this technique in Canada. Objective: Our study was to document the modern practice pattern of Mohs' micrographic surgery, with an evaluation of the types of tumours treated and the disposition of patients following tumour excision. Methods: Data were collected prospectively on 410 patients who received Mohs' micrographie surgery for 464 skin cancers at the University of British Columbia. Results: Eighty-one percent of defects were dealt with immediately by the micrographie surgeon with local flaps, skin grafts, primary closure, or healing by secondary intention. Nineteen percent were referred out for repair. Almost all cases referred out had pre-arrangements for repair within 24 hours. Conclusions: In a modern micrographie surgery unit, most patients are managed as outpatients in one setting, and delayed reconstructions are uncommon. Using a multidisciplinary approach, patients requiring referral are usually repaired within 24 hours by a consultant surgeon who is already aware of the patient.

Rationale and Argument for Subunit Mohs Excision in Nasal Reconstruction

2016 ◽  
Vol 20 (4) ◽  
pp. 343-345
Author(s):  
Zachary R. Jergensen ◽  
Ronnie A. Pezeshk ◽  
James F. Thornton
Keyword(s):  
Functional Results ◽  
Nasal Reconstruction ◽  
Mohs Micrographic Surgery ◽  
Micrographic Surgery ◽  
Nasal Ala ◽  
Aesthetic Results ◽  
Nasal Defects

Background: Optimal aesthetic results are achieved when nasal defects after Mohs micrographic surgery (MMS) are reconstructed as entire nasal subunits. Objective: To illustrate the importance of reconstructing the nose in entire subunits and explore the possibilities of expanding the principles of subunit reconstruction to the concept of subunit Mohs excision. Methods: An 83-year-old man presented for MMS to excise 3 lesions on the nasal ala. The surgeons elected to excise and reconstruct the entire subunit. Results: Excellent aesthetic and functional results were obtained. Conclusion: When a defect greater than 50% of a nasal subunit is encountered during MMS, immediate marginal control excision of the entire subunit can be performed with subsequent reconstruction. This technique ultimately has the potential to deliver a more aesthetically pleasing outcome and should be, at the very least, considered by all Mohs surgeons.

scholarly journals Paramedian forehead flap for nasal tip reconstruction after Mohs surgery

2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Felipe Bochnia Cerci
Keyword(s):  
Basal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Surgical Planning ◽  
Full Thickness ◽  
Mohs Micrographic Surgery ◽  
Forehead Flap ◽  
Micrographic Surgery ◽  
Nasal Tip ◽  
Paramedian Forehead Flap ◽  
Nasal Defects

<p>The paramedian forehead flap is a great option for restoring complex nasal defects. Its main indications are large and deep wounds located on the distal third of the nose (tip and ala). For full-thickness defects, the paramedian forehead flap may be used alone or in combination with other methods. We presented a patient with a nodular basal cell carcinoma on the nasal tip and collumela treated by Mohs micrographic surgery and repaired with a paramedian forehead flap. Prior to reconstruction, it is essential that surgical margins are completely evaluated and free of tumor. For optimal paramedian forehead flap results, adequate surgical planning and meticulous technique are imperative.</p>

scholarly journals Comparison of Accuracy of Patient and Physician Scar Length Estimates Before Mohs Micrographic Surgery for Facial Skin Cancers

2020 ◽  
Vol 3 (3) ◽  
pp. e200725 ◽  
Author(s):  
William C. Fix ◽  
Christopher J. Miller ◽  
Jeremy R. Etzkorn ◽  
Thuzar M. Shin ◽  
Nicole Howe ◽  
...  
Keyword(s):  
Facial Skin ◽  
Mohs Micrographic Surgery ◽  
Micrographic Surgery ◽  
Skin Cancers
Sign in / Sign up

Export Citation Format

Share Document