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Conservative thickness layers in Mohs micrographic surgery.

Stanislav N Tolkachjov¹, Jonathan A Cappel¹, Elizabeth A Bryant¹

¹Surgical Dermatology Group, Birmingham, AL, USA.

International Journal of Dermatology

|May 19, 2018

Summary

This summary is machine-generated.

Conservative thickness layers (CTL) in Mohs micrographic surgery (MMS) effectively treat skin cancer, especially on the legs and nose. This tissue-sparing technique is time-saving and leads to good wound healing with fewer complications.

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Area of Science:

Dermatology
Surgical Oncology

Background:

Mohs micrographic surgery (MMS) is a standard for treating skin cancer, prioritizing tissue preservation.
Conservative thickness layers (CTL) offer a method to maximize tissue sparing during MMS.

Purpose of the Study:

To demonstrate the effectiveness of CTL in MMS.
To identify patient and tumor characteristics suitable for CTL.
To determine optimal anatomic locations for CTL application.

Main Methods:

Retrospective chart review of 339 tumors treated with CTL during MMS.
Data collected included patient demographics, tumor characteristics, MMS stages, repairs, complications, and follow-up.

Main Results:

The leg was the most common site (28.6%), followed by the nose (24.5%), scalp (13.9%), and back (11.5%).
Most tumors (269/339) were cleared in one layer.
Wounds were primarily left to granulate (264/339), with nasal tumors undergoing dermabrasion (75/339).

Conclusions:

CTL is an effective, time-saving MMS technique for selected patients and locations.
This method prepares wounds for optimal granulation with a low complication rate.
Tissue sparing with CTL may enhance reconstructive possibilities.