Mohs micrographic surgery : from layers to reconstruction /

A systematic approach to Mohs surgery and reconstruction from renowned skin cancer surgeons More than 5.4 million cases of nonmelanoma skin cancer, most notably basal cell, squamous cell carcinoma, and melanoma, occur annually in the United States alone. The Mohs technique, developed in the 1950s an...

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Detalles Bibliográficos
Clasificación:Libro Electrónico
Otros Autores: Harmon, Christopher B. (Editor ), Tolkachjov, Stanislav N. (Editor )
Formato: Electrónico eBook
Idioma:Inglés
Publicado: Stuttgart : Thieme, [2023]
Temas:
Mohs surgery.
Mohs Surgery
Technique de Mohs (Chirurgie)
Mohs surgery
Acceso en línea:Texto completo
Tabla de Contenidos:
  • Mohs Micrographic Surgery: From Layers to Reconstruction
  • MedOne Access Information
  • Title Page
  • Copyright
  • Dedication
  • Contents
  • Videos
  • Foreword
  • Preface
  • Acknowledgments
  • Contributors
  • 1 Mohs Micrographic Surgery
  • 1.1 Before the First Stage
  • 1.1.1 Tumor Selection
  • 1.1.2 Documentation of Site
  • 1.1.3 Time-Out
  • 1.2 Procedures before the First Stage
  • 1.2.1 Curettage
  • 1.2.2 Sharp Debulking
  • 1.3 The First Stage
  • 1.3.1 Essentials of the First Stage
  • 1.3.2 Incomplete Excision and Recurrence
  • 1.4 Tissue Processing
  • 1.4.1 Tissue Transfer
  • 1.4.2 Relaxing Incisions and Dividing
  • 1.4.3 Tissue Inking
  • 1.5 Histologic Interpretation/Mapping
  • 1.5.1 Initial Slide Quality Review
  • 1.5.2 Histologic Interpretation
  • 1.5.3 Tissue Mapping
  • 1.6 Subsequent Layers
  • 1.6.1 Subsequent Layers When Malignancy is Present Only in the Deep Tissue
  • 1.7 Nonstandard Situations
  • 1.8 Mohs Layers in Special Sites
  • 1.8.1 Eyelid
  • 1.8.2 Lip
  • 1.8.3 Ear
  • 1.8.4 Nose
  • 1.8.5 Periosteum/Bone
  • 1.8.6 Nail
  • 1.8.7 Anogenital Region
  • 2 Facial Subunit Reconstructive Principles and General Considerations
  • 2.1 Design Principles of Facial Reconstruction
  • 2.1.1 Overview
  • 2.1.2 Free Margins
  • 2.1.3 Contour
  • 2.1.4 Cosmetic Subunit Junction Lines
  • 2.1.5 Relaxed Skin Tension Lines
  • 2.1.6 Color and Texture
  • 2.2 Principles of Tissue Biomechanics
  • 2.2.1 Overview
  • 2.2.2 Preferred Vectors to Move Facial Tissue
  • 2.2.3 How Different Reconstructions Affect Location of Tension Relative to the Primary Defect
  • 2.2.4 Tissue Planes for Undermining and Elevating Flaps
  • 2.3 Key Principles of Anatomy
  • 2.3.1 Overview
  • 2.3.2 Blood Supply to the Face
  • 2.3.3 Superficial Musculoaponeurotic System
  • 2.4 Systematic Approach to Assessing Facial Wounds and Choosing Reconstruction
  • 2.4.1 Overview
  • 2.4.2 Define What Is Missing
  • 2.4.3 Prioritize Principles for Reconstruction Design
  • 2.4.4 Choose among Reconstruction Options
  • 2.5 Reconstruction Options for Facial Reconstruction
  • 2.5.1 Overview
  • 2.5.2 Second Intention Healing
  • 2.5.3 Linear Closure
  • 2.5.4 Skin Grafts
  • 2.5.5 Sliding Flaps
  • 2.6 Conclusion
  • 3 Nose
  • 3.1 Introduction
  • 3.2 Anatomy
  • 3.3 Nasal Tip
  • 3.3.1 Second Intention Healing
  • 3.3.2 Primary Closure
  • 3.3.3 Bilobed Flap
  • 3.3.4 Dorsal Nasal (Rieger's) Flap
  • 3.3.5 Forehead Flap
  • 3.3.6 Prelaminated and Prefolded Forehead Flap
  • 3.3.7 Conchal Bowl Full-Thickness Skin Graft
  • 3.4 Nasal Ala
  • 3.4.1 Second Intention
  • 3.4.2 Grafts
  • 3.4.3 Medial-Based Bilobed Flap
  • 3.4.4 Spiral Flap
  • 3.4.5 Cheek-to-Nose Interpolation Flap
  • 3.4.6 Spear Flap
  • 3.4.7 Technique
  • 3.5 Soft Triangle/Columella
  • 3.5.1 Turnover Flap
  • 3.5.2 Nasal Tip Rotation Flap
  • 3.6 Nasal Dorsum
  • 3.7 Nasal Root/Lower Glabella
  • 3.8 Nasal Sidewall
  • 3.8.1 Rhombic Transposition Flap
  • 3.8.2 Superior-Based Bilobed Flap

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