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Update on Mohs Micrographic Surgery Techniques for Excision and Reconstruction of Periocular Tumors: A Multidisciplinary Approach

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Oculoplastics and Orbit

Part of the book series: Essentials in Ophthalmology ((ESSENTIALS))

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Abstract

The successful treatment of periocular tumors depends on the accomplishment of three primary goals:

• Cure of the tumor

• Preservation of function

• Cosmetic reconstruction

Balancing efforts to achieve these three goals can challenge the reconstructive surgeon. Whereas generous surgical margins enhance cure rates, they can lead to extensive cosmetic and functional morbidity. By contrast, modest surgical margins may simplify reconstruction, improve cosmetic outcomes, and preserve function of critical periorbital anatomy only to increase the risk of tumor recurrence. Strong evidence supports the use of Mohs micrographic surgery to treat periorbital malignancies, due to its reliably high cure rates and maximal preservation of healthy tissue [22].

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Rudolf Guthoff James Katowitz

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(2007). Update on Mohs Micrographic Surgery Techniques for Excision and Reconstruction of Periocular Tumors: A Multidisciplinary Approach. In: Guthoff, R., Katowitz, J. (eds) Oculoplastics and Orbit. Essentials in Ophthalmology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-33677-8_2

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  • DOI: https://doi.org/10.1007/978-3-540-33677-8_2

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