Full-Thickness Skin Grafts
Summary Full-thickness skin grafting constitutes a large percentage of procedures for head and neck reconstruction. For color-matched grafts, skin must be harvested from above the clavicles; there are few indications…
Management of Complications in the Late Healing Stage
Summary Hyperpigmentation can be common with full-thickness skin grafts that have prolonged healing. Dermabrasion and/or laser therapy is very efficacious in improving final appearance. Hypopigmentation is often unpredictable in occurrence…
Intraoperative Complications and Initial Management
General Principles Avoidance and management of complications begins prior to making the first incision. “Extreme ownership,” initially coined by Navy SEAL Jocko Willink, is a concept in leadership that defines…
Anesthesia for Reconstruction of Facial Mohs Defects
General Principles Patients typically present to an ambulatory surgical center for anesthesia and subsequent reconstruction the day of their Mohs procedure, usually without any prior medical screening. Often patients are…
Mohs Micrographic Surgery
Mohs micrographic surgery (MMS) allows for efficient evaluation of the entire margin in an outpatient setting under local anesthesia with the goal of confirming clear histologic margins prior to reconstruction….
Special Considerations for Mohs Patients
General Principles In many ways, this is the “best of times” to practice medicine as a surgeon. We are at a time of unparalleled patient safety and at the cusp…
Role of Dermatopathology in the Surgical Management of Skin Cancer
11 Role of Dermatopathology in the Surgical Management of Skin Cancer Jennifer S. Ko, Eugen C. Minca, and Klaus J. Busam 11.1 Introduction The role of dermatopathology in the surgical…
Treatment of Squamous and Basal Cell Carcinoma of the Skin
3 Treatment of Squamous and Basal Cell Carcinoma of the Skin Rogerio I. Neves and Morgan Brgoch 3.1 Introduction Basal cell and squamous cell skin cancers, collectively known as nonmelanoma…
Operative Lymphadenectomy
10 Operative Lymphadenectomy Calvin J. Young, Amrita Pandit, and Deepak Narayan 10.1 Operative Lymphadenectomy 10.1.1 Introduction Malignant melanoma is the cutaneous malignancy that most often mandates an operative lymphadenectomy. The…
Role of Radiotherapy in the Treatment of Skin Malignancies
7 Role of Radiotherapy in the Treatment of Skin Malignancies Shlomo A. Koyfman, Bindu V. Manyam, Nikhil Purushottam Joshi, and Sue S. Yom 7.1 Introduction Non-melanomatous skin cancers (NMSC), specifically…
