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Osteomyelitis complicating Mohs' chemosurgery.

P A Snyder, J C Alper, M J Albom

    Journal of the American Academy of Dermatology
    |September 1, 1984
    PubMed
    Summary
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    Osteomyelitis can complicate Mohs surgery for forehead basal cell carcinoma. Open, bone-exposed defects healing by secondary intention need careful wound care and monitoring.

    Area of Science:

    • Dermatology
    • Surgical Oncology
    • Infectious Disease

    Background:

    • Mohs' surgery is a precise technique for removing skin cancers like basal cell carcinoma.
    • Recurrent basal cell carcinoma, particularly on the forehead, can present complex surgical challenges.
    • Reconstructive strategies post-Mohs' surgery involve immediate or delayed repair.

    Observation:

    • A case of osteomyelitis (bone infection) occurred after Mohs' surgery for recurrent forehead basal cell carcinoma.
    • The surgical defect was left open to heal by secondary intention, exposing bone.
    • This necessitated intensive wound management and patient observation.

    Findings:

    • Osteomyelitis is a potential complication following Mohs' surgery, especially with exposed bone.

    Related Experiment Videos

  • Secondary intention healing of large, bone-exposed defects requires vigilant post-operative care.
  • The timing of surgical repair (immediate vs. delayed) is a critical consideration in managing such cases.

    • Implications:

    • Clinicians must be aware of the risk of infection, including osteomyelitis, in complex Mohs' surgery reconstructions.
    • Meticulous wound care protocols are essential for patients with open, bone-exposed defects undergoing secondary intention healing.
    • Further research may be warranted to optimize reconstructive strategies and minimize infectious complications after Mohs' surgery for facial skin cancers.