Mohs surgery: techniques, indications, and applications in head and neck surgery

Area of Science:

• Dermatology
• Surgical Oncology

Background:

• Mohs surgery, a microscopically controlled tissue removal method, has evolved significantly.
• Initially used for recurrent basal cell carcinomas, its scope has broadened.

Purpose of the Study:

• To detail the contemporary fresh tissue Mohs surgery technique.
• To discuss expanded indications and applications for Mohs surgery.
• To propose an interdisciplinary approach for cutaneous and paracutaneous neoplasms.

Main Methods:

• Detailed description of the contemporary fresh tissue Mohs surgery technique.
• Review of current indications and applications, including basal cell carcinomas and other neoplasms.

Main Results:

• Maximal conservation of surrounding normal tissue and structures.
• Extremely high cure rates for treated cancers.
• Creation of tumor-free defects suitable for immediate reconstruction.

Conclusions:

• Mohs surgery provides superior outcomes in terms of cure rate and tissue preservation.
• Expanded indications necessitate a broader understanding and application of the technique.
• An interdisciplinary approach is recommended for managing complex cutaneous and paracutaneous neoplasms treated with Mohs surgery.