Mohs’ Micrographic Surgery
Despite the fact that the cutaneous malignancies managed by Mohs’ micrographic surgery (MMS) often prove quite invasive and extensive, and that many of the patients are elderly, the procedure is amazingly free of complications. This is true even when a multidisciplinary approach under general anesthesia is required either to rid the patient of his tumor and/or to reconstruct the surgical defect . Many of the potential complications of MMS are not unique but are common to all surgical procedures involving the skin. These have been reviewed by others  and are also discussed elsewhere in this volume. Because other authors discuss the complications associated with the repair of surgical defects, and because these are no more likely or different in the MMS patient, I omit these from my discussion.
KeywordsProsthetic Heart Valve Nasolabial Fold Large Wound Lacrimal System Good Wound Care
Unable to display preview. Download preview PDF.
- 5.Mohs FE (1978) Chemosurgical techniques. In: Chemosurgery. Microscopically controlled surgery for skin cancer. Thomas, Springfield, pp 7–29Google Scholar
- 6.Bailin PL, Ratz J, Wheeland RG (1988) Mohs micrographic surgery technique. In: Roenigk RK, Roenigk HH Jr (eds) Dermatologic surgery. Principles and practice. Dekker, New York, pp 833–852Google Scholar
- 7.Larson PO (1991) Surgical complications. In: Mikhail GR (ed) Mohs micrographic surgery. Saunders, Philadelphia, pp 193–206Google Scholar
- 11.Glinert RJ, Zachary CB (1991) Local anesthetic allergy. Its recognition and avoidance. J Dermatol Surg Oncol 17: 491–496Google Scholar
- 12.Bennett RG (1988) Anesthesia. In: Fundamentals of cutaneous surgery. Mosby, St. Louis, pp 194–239Google Scholar
- 13.Bennett RG (1988) Electrosurgery. In: Fundamentals of cutaneous surgery. Mosby, St. Louis, pp 553–590Google Scholar
- 15.Gette MT, Marks JG Jr, Maloney ME (1991) Incidence of postoperative allergic contract dermatitis to topical antibiotics. Annual Meeting of the American College of Mohs Micrographic Surgery and Cutaneous Oncology, March 11–13, OrlandoGoogle Scholar
- 17.Gaspari AA, d’Aubermont PC, Bennett RG (1984) Delayed extensor tendon rupture. A complication of Mohs surgery. J Dermatol Surg Oncol 10: 721–723Google Scholar
- 27.Buecker JW, Phelan JT (1986) Carcinoma of the external auditory canal. Removal and prevention of stenosis. J Dermatol Surg Oncol 12: 598–600Google Scholar
- 29.Bailin PL, Bailin MD (1988) Collagen implantation: clinical applications and lesion selec-tion. J Dermatol Surg Oncol 14 Suppl 1: 21–26Google Scholar
- 30.Millikan L, Multicenter Study Group (1989) Long-term safety and efficacy with Fibrel in the treatment of cutaneous scars - results of a multicenter study. J Dermatol Surg Oncol 15: 837–842Google Scholar
- 31.Hambley RM, Carruthers A (1991) Microlipoinjection for elevation of depressed full-thickness skin grafts on the nose. Annual Meeting of the American College of Mohs Micrographic Surgery and Cutaneous Oncology, March 11–13, OrlandoGoogle Scholar