Simultaneous intraoperative Mohs clearance and reconstruction for advanced cutaneous malignancies

Rahul Seth, Peter C. Revenaugh, Allison T. Vidimos, Joseph Scharpf, Ally-Khan Somani, Michael A. Fritz

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: Improved control of cutaneous malignancies using Mohs micrographic pathologic clearance has been well established. However, surgical margin control of advanced and complex cutaneous tumors of the head and neck is commonly performed by far less reliable frozen section margin analysis. Objective: To describe a routine and ideal collaboration between dermatologic surgery and facial plastic surgery/head and neck surgery in which the Mohs micrographic method is used intraoperatively to achieve marginal clearance during resection and reconstruction. Methods: A single-institution retrospective analysis was performed of patients who underwent intraoperative Mohs micrographic surgery. Intraoperative margins (peripheral and deep) of tissue specimens were analyzed by the Mohs surgeon. Results: Twenty-six patients underwent large cutaneous tumor resection using intraoperative Mohs micrographic surgery. Most lesions were basal (48%) or squamous (34%) cell carcinoma. A mean (SD) of 2.1 (0.98) resection layers were required before negative margins were achieved. Conclusions: We demonstrate the intraoperative technique and utility of Mohs micrographic analysis via an efficient collaborative effort. Well established for accuracy greater than intraoperative frozen section margin analysis, intraoperative Mohs micrographic surgery provides an optimal method of intraoperative margin assessment of cutaneous malignancies.

Original languageEnglish (US)
Pages (from-to)404-410
Number of pages7
JournalArchives of Facial Plastic Surgery
Volume13
Issue number6
DOIs
StatePublished - Nov 2011
Externally publishedYes

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Mohs Surgery
Skin
Frozen Sections
Cervicoplasty
Neoplasms
Head
Dermatologic Surgical Procedures
Squamous Cell Carcinoma
Neck

ASJC Scopus subject areas

  • Surgery

Cite this

Simultaneous intraoperative Mohs clearance and reconstruction for advanced cutaneous malignancies. / Seth, Rahul; Revenaugh, Peter C.; Vidimos, Allison T.; Scharpf, Joseph; Somani, Ally-Khan; Fritz, Michael A.

In: Archives of Facial Plastic Surgery, Vol. 13, No. 6, 11.2011, p. 404-410.

Research output: Contribution to journalArticle

Seth, Rahul ; Revenaugh, Peter C. ; Vidimos, Allison T. ; Scharpf, Joseph ; Somani, Ally-Khan ; Fritz, Michael A. / Simultaneous intraoperative Mohs clearance and reconstruction for advanced cutaneous malignancies. In: Archives of Facial Plastic Surgery. 2011 ; Vol. 13, No. 6. pp. 404-410.
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