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Mohs Surgery and Facial Flaps

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Book cover Non-melanoma Skin Cancer of the Head and Neck

Part of the book series: Head and Neck Cancer Clinics ((HNCC))

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Abstract

From the early 1930s, Frederic E. Mohs developed the idea of cancer excision with microscopic assistance, a concept which has become known as Mohs micrographic surgery [1]. Initially, a fixed tissue technique was employed using zinc chloride solution; however, today most practitioners employ a fresh-tissue approach [2]. Mohs surgery is a microscopically controlled procedure that allows maximal excision of involved tumour in cutaneous neoplasms while minimizing the excision of uninvolved tissue. It achieves this through mapping the surgical site and successive resection of tumour and subsequent histological analysis of resected borders until clear margins are achieved [3]. Mohs surgery is suited to cutaneous neoplasms in areas with high risk of local recurrence or where for functional or cosmetic reasons tissue is required to be preserved, or in recurrent neoplasms, in particular, large and aggressive tumours with irregular or incomplete resection borders [1].

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Author information

Authors and Affiliations

  1. Otolaryngology-Head and Neck Surgery, Gold Coast University Hospital, South Port, QLD, Australia

    Dan Robinson BIT, BCom, MBBS (Hons), FRACS

  2. Otolaryngology-Head and Neck Surgery, Private Practice, Sydney, NSW, Australia

    Jason Roth BSc, MBBS, AMusA, FRACS

Authors
  1. Dan Robinson BIT, BCom, MBBS (Hons), FRACS
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  2. Jason Roth BSc, MBBS, AMusA, FRACS
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Corresponding author

Correspondence to Dan Robinson BIT, BCom, MBBS (Hons), FRACS .

Editor information

Editors and Affiliations

  1. University of Sydney, Westmead Hospital, Sydney, Australia

    Faruque Riffat

  2. Westmead Hospital, University of Sydney, Sydney, Australia

    Carsten E. Palme

  3. Westmead Hospital, University of Sydney, Sydney, Australia

    Michael Veness

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© 2015 Faruque Riffat, Carsten E. Palme, Michael Veness, Rehan Kazi, Raghav C. Dwivedi

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Robinson, D., Roth, J. (2015). Mohs Surgery and Facial Flaps. In: Riffat, F., Palme, C., Veness, M. (eds) Non-melanoma Skin Cancer of the Head and Neck. Head and Neck Cancer Clinics. Springer, New Delhi. https://doi.org/10.1007/978-81-322-2497-6_5

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  • DOI: https://doi.org/10.1007/978-81-322-2497-6_5

  • Publisher Name: Springer, New Delhi

  • Print ISBN: 978-81-322-2496-9

  • Online ISBN: 978-81-322-2497-6

  • eBook Packages: MedicineMedicine (R0)

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