Nonmelanoma skin cancer of the head and neck II: surgical treatment and reconstruction

Abstract Surgical treatment of non-melanoma skin cancers (NMSC) is most often straight forward and can be performed as an office-based procedure by non-surgically trained professionals. However, the cases that present to an Otolaryngology practice typically will involve difficult-to-treat lesions ar...

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Bibliographic Details
Published in:American journal of otolaryngology 2009-05, Vol.30 (3), p.181-192
Main Authors: Ge, Norman N., MD, FACS, McGuire, John F., MD, MBA, Dyson, Senait, MD, Chark, Davin, MD
Format: Article
Language:English
Subjects:
Biological and medical sciences
Dermatology
Head and Neck Neoplasms - pathology
Head and Neck Neoplasms - surgery
Humans
Medical sciences
Mohs Surgery - adverse effects
Mohs Surgery - methods
Otolaryngology
Otorhinolaryngology. Stomatology
Reconstructive Surgical Procedures - methods
Skin Neoplasms - pathology
Skin Neoplasms - surgery
Surgery
Surgical Flaps
Treatment Outcome
Tumors of the skin and soft tissue. Premalignant lesions
Wound Healing
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Summary:Abstract Surgical treatment of non-melanoma skin cancers (NMSC) is most often straight forward and can be performed as an office-based procedure by non-surgically trained professionals. However, the cases that present to an Otolaryngology practice typically will involve difficult-to-treat lesions around the face and lesions that necessitate an in depth knowledge of how to balance the need for adequate surgical margins with the reconstructive contraints imposed by aesthetic subunits of the face. This article discusses modern concepts of surgical margins for NMSC, including the Moh's micrographic surgical technique, and then reviews the most common reconstructive strategies for difficult-to-treat areas on the face. The goal of this paper is to help the general Otolaryngollogists to understand the basic principles of surgical resection and reconstruction of NMSC lesions on the face.
ISSN:0196-0709
1532-818X
DOI:10.1016/j.amjoto.2008.03.003