Tissue Repair after Mohs Surgery A Plastic Surgeon's View

background Goals of the treatment for skin cancer include completeness of removal of the lesion, minimal functional disability, and a good aesthetic result. With increasing standards for the quality assurance and the demand for cost‐effectiveness, assessment of resource‐consuming treatment modalities, especially those involving multidisciplinary approaches, seems appropriate. objective The purpose of this study was to review the strategy of management and the approaches to tissue repair following cutaneous micrographic surgery from the plastic surgeon's point of view. method Retrospective review of personal experience based on approximately 800 patients treated between 1989 and 1996 and current plastic surgery literature. results and conclusions Teamwork with the Mohs surgeon, recognition of the post‐Mohs' procedure wound components, and familiarity with reconstructive techniques are essential for the multidisciplinary practice success. The pitfalls of the reconstructive approaches are discussed.

[1]  S. Miller,et al.  Reconstruction after Mohs cancer excision. , 2000, Clinics in Plastic Surgery.

[2]  J. Robinson Mohs micrographic surgery. , 1993, Clinics in Plastic Surgery.

[3]  Philip R. Cohen,et al.  Cancer recurrence following Mohs micrographic surgery: a mechanism of tumor persistence. , 1992, Plastic and reconstructive surgery.

[4]  Greenbaum Ss,et al.  Intraoperative tissue expansion: a review. , 1992 .

[5]  W. Panje,et al.  Facial reconstruction for radiation-induced skin cancer. , 1990, Archives of otolaryngology--head & neck surgery.

[6]  F. Kamer,et al.  Minicomposite graft for nasal alar revision. , 1987, Archives of Otolaryngology - Head and Neck Surgery.

[7]  F. Nahai,et al.  The meaning of surgical margins. , 1984, Plastic and reconstructive surgery.

[8]  W. Larrabee,et al.  Experimental analysis of the adjunctive Z-plasty in the closure of fusiform defects. , 1984, A M A Archives of Otolaryngology.