Abstract
The virtues of Mohs surgery are well established and applicable to the nail unit and periungual tissues. When compared to traditional wide excision, Mohs surgery offers definitive examination of the entire cut surgical margin while sparing uninvolved tissues. There are specific techniques that can specifically maximize efficiency and improve outcomes when utilized on nail tumors. These involve tumor extirpation without plate avulsion and selective bone excision as a part of the Mohs layers. These techniques are demonstrated with pictures and videos.
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36.1 Electronic Supplementary Material
Mohs surgery performed with the nail plate intact (MP4 1,309,653 kb)
Excision of bone and soft tissue at the depth of a Mohs surgery (MP4 755,648 kb)
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Jellinek, N.J., Cordova, K.B., Collins, S.C., Knackstedt, T. (2018). Mohs Surgery for Nail Tumors. In: Rubin, A.I., Jellinek, N.J., Daniel, C.R., Scher, R.K. (eds) Scher and Daniel’s Nails. Springer, Cham. https://doi.org/10.1007/978-3-319-65649-6_36
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