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Contemporary Mohs surgery applications.

Timothy J Minton1

  • 1Department of Otolaryngology and Communication Sciences, State University of New York, Upstate Medical University, Syracuse, New York 13210, USA. mintont@upstate.edu

Current Opinion in Otolaryngology & Head and Neck Surgery
|July 16, 2008
PubMed
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Mohs micrographic surgery offers high cure rates for head and neck skin cancers by providing complete microscopic margin control and tissue conservation. It is an important technique for otolaryngologists to understand for treating complex cutaneous malignancies.

Area of Science:

  • Dermatology
  • Surgical Oncology
  • Head and Neck Surgery

Background:

  • Rising incidence of cutaneous malignancies necessitates advanced treatment approaches.
  • Otolaryngologists frequently encounter skin cancers requiring complex management.
  • Mohs micrographic surgery is a tissue-sparing technique offering high cure rates.

Purpose of the Study:

  • To review the Mohs micrographic surgery technique.
  • To discuss current indications for Mohs surgery in head and neck cutaneous malignancies.

Main Methods:

  • Review of current literature on Mohs micrographic surgery.
  • Analysis of cure rates and indications for Mohs surgery in head and neck cancers.

Main Results:

Related Experiment Videos

  • Mohs surgery demonstrates superior cure rates for high-risk basal cell and squamous cell carcinomas compared to standard excision.
  • Mohs surgery for melanoma remains controversial due to challenges in frozen section histological identification.
  • Alternative margin control methods include frozen section analysis and photodynamic delineation.

Conclusions:

  • Mohs surgery provides excellent microscopic margin control and tissue conservation for head and neck cutaneous malignancies, leading to high cure rates.
  • Understanding Mohs surgery technique and indications is crucial for otolaryngologists treating these cancers.