Mohs Micrographic Surgery From Layers To Reconstruction

A systematic approach to Mohs surgery and reconstruction from renowned skin cancer surgeons More than 5.4 million cases of nonmelanoma skin cancer, most notably basal cell, squamous cell carcinoma, and melanoma, occur annually in the United States alone. The Mohs technique, developed in the 1950s and refined over the years, has the highest cure rate of any treatment for nonmelanoma skin cancer, is used increasingly for melanoma, and the lowest recurrence rate. Mohs Micrographic Surgery: From Layers to Reconstruction by renowned dermatologic and Mohs surgeons Christopher Harmon and Stanislav Tolkachjov provides a detailed yet succinct road map to learning and mastering Mohs and reconstruction. The algorithmic organization coupled with instructive photographs and illustrations provide a reader-friendly format conducive to learning. The two opening chapters describe the principles of Mohs surgery including: progressive layer excision to determine if wound margins are cancer free, associated pitfalls, recurrences, special sites, reconstructive principles, and general considerations. The subsequent eight chapters are organized by facial site, from the nose to the eyelid/eyebrow. The final two chapters discuss combination reconstructions stretching over multiple subunits and perioperative management and wound care. Key Highlights An impressive group of global Mohs and reconstruction experts provide firsthand pearls that guide optimal treatment Relevant anatomical aspects that impact excision and reconstruction are detailed, including structures, skin tension lines, tissue planes, and dangers zones More than 20 procedural videos provide hands-on guidance on how to perform specific steps in Mohs and reconstruction This unique resource will help residents, fellows, and surgeons in dermatology, plastic surgery, and facial plastic surgery master nuances of Mohs reconstructive techniques to achieve the most functional and aesthetically pleasing outcomes for patients.

A systematic approach to Mohs surgery and reconstruction from renowned skin cancer surgeons More than 5.4 million cases of nonmelanoma skin cancer, most notably basal cell, squamous cell carcinoma, and melanoma, occur annually in the United States alone. The Mohs technique, developed in the 1950s and refined over the years, has the highest cure rate of any treatment for nonmelanoma skin cancer, is used increasingly for melanoma, and the lowest recurrence ra.

Mohs Micrographic Surgery, an advanced treatment procedure for skin cancer, offers the highest potential for recovery--even if the skin cancer has been previously treated. This procedure is a state-of-the-art treatment in which the physician serves as surgeon, pathologist, and reconstructive surgeon. It relies on the accuracy of a microscope to trace and ensure removal of skin cancer down to its roots. This procedure allows dermatologists trained in Mohs Surgery to see beyond the visible disease and to precisely identify and remove the entire tumor, leaving healthy tissue unharmed. This procedure is most often used in treating two of the most common forms of skin cancer: basal cell carcinoma and squamous cell carcinoma. The cure rate for Mohs Micrographic Surgery is the highest of all treatments for skin cancer--up to 99 percent even if other forms of treatment have failed. This procedure, the most exact and precise method of tumor removal, minimizes the chance of regrowth and lessens the potential for scarring or disfigurement

This book is written for dermatologists, otolaryngologists, facial plastic surgeons and any physician who want to provide state of the art treatment for skin cancer patients. Considering the high incidence of non-melanoma skin cancers such as Basal Cell Carcinoma and Squamous Cell Carcinoma (accounting for over one million cases per year in the United States) and since Mohs Micrographic Surgery has become the treatment of choice for these skin cancers, the popularity of this technique has been increasing dramatically, worldwide.

Mohs surgery is microscopically controlled surgery used to treat common types of skin cancer and allows for the removal of a skin cancer with a very narrow surgical margin and a high cure rate. However, for those involved with the Mohs procedure, it is critical to understand the optimal preparation and interpretation of frozen sections. Complete with hundreds of high resolution figures, Atlas of Practical Mohs Histopathology is written by leading experts in the field and discusses everything from normal skin histology and rare tumors to pitfalls and incidental findings. Dermatologic surgeons, Mohs cutaneous surgeons, dermatopathologists and pathologists alike will find this book to be a comprehensive and indispensable reference.

Facial Reconstruction after Mohs Surgery The growing worldwide incidence of melanoma and nonmelanoma skin cancers has driven the development of effective treatment methodologies. Mohs is the gold standard surgical treatment for excision of skin cancers on the head and neck. While Mohs surgery has a 99% effectiveness rate for new cancers and 95% for recurrences, more than 90% of reconstructed patients desire some improvement in their operative scars. Facial Reconstruction after Mohs Surgery by James Thornton and Jourdan Carboy summarizes 15 years and 12,000 cases in a surgical practice devoted to post-Mohs facial reconstruction. Step-by-step guidance is provided on efficacious, aesthetically pleasing, and functionally complete repairs, respective of a patient's age, anesthesia considerations, and available resources. In addition to succinct chapters on lip, ear, cheek, scalp, and nasal reconstruction, subspecialty chapters cover anesthesia, Mohs surgery, oculoplastic surgery, and microvascular reconstruction. Throughout the text, complete and concise clinical algorithms serve as a framework to help simplify difficult clinical concepts. Key Highlights General techniques including wound care, skin and cartilage grafts; and local and pedicled flaps The management of intraoperative, acute, and late healing stage complications; scar optimization and revision surgeries Additional procedural guidance provided in 20 high quality video clips posted in the Thieme MediaCenter Nearly 500 full-color photos and precise drawings add a rich visual dimension and show stepwise operative sequences This book is comprehensive resource on tried and true techniques for soft tissue reconstruction after Mohs cancer resection. It is essential reading for plastic surgery, facial plastic surgery and dermatology residents and clinicians with practices devoted to facial plastic surgery.

This book describes the methods a dermatologist, pathologist, or technician can use to optimize the Mohs technique in skin cancer treatment.

Of all the techniques used to treat non melanoma skin cancer, the highest cure rates belong to the Mohs surgical procedure. Critical to this technique is optimal preparation and interpretation of frozen sections. With more than 400 high resolution figures, the Atlas of Mohs and Frozen Section Cutaneous Pathology is the premier textbook on the topic, serving as a highly practical guide to microscopic analysis, diagnosis, and discrimination of common and problematic cutaneous neoplasms. Highlights of the Atlas include diagnosis of basic and routine dermatologic entities, diagnosis and distinction of rare and/or deadly neoplasms such as dermatofibrosarcoma protuberans and merkel cell carcinoma, a troubleshooting guide dealing with quality control of the frozen section technique, and discussion of new techniques including immunohistochemistry. Comprehensive and presented in full color, the Atlas of Mohs and Frozen Section Cutaneous Pathology is an indispensable reference for anyone involved with the Mohs procedure, including dermatologic surgeons, Mohs cutaneous surgeons, as well as pathologists and dermatopathologists who perform frozen section analysis of cutaneous specimens.