Article
Dermatology
S. Atilla, O. Gokoz, S. Ozer, G. Elcin
Summary: The study aimed to assess the concordance between Mohs surgeon and pathologist in evaluating Mohs slides, showing a high concordance rate and good inter-rater agreement.
JOURNAL OF THE EUROPEAN ACADEMY OF DERMATOLOGY AND VENEREOLOGY
(2021)
Article
Dermatology
Elliott H. Campbell, Daniel E. Sotelo Leon, Christian L. Baum, Lilly H. Wagner
Summary: This study aimed to identify factors associated with canalicular injury (CI) after Mohs micrographic surgery. The results showed that CI was associated with infiltrative, morpheaform, and/or micronodular-type basal cell carcinoma. Initial tumor location in the medial canthus was related to CI, and there was a higher likelihood of final defects involving the medial canthal region.
DERMATOLOGIC SURGERY
(2022)
Review
Dermatology
Kimberly W. Lu, Amor Khachemoune
Summary: This systematic review provides an overview of the usage of skin substitutes in managing wounds after Mohs micrographic surgery (MMS), summarizes the clinical characteristics of patients undergoing skin substitute-based repair, and identifies the advantages and limitations of using skin substitutes.
ARCHIVES OF DERMATOLOGICAL RESEARCH
(2023)
Article
Dermatology
Ashwath J. Sampath, Karina Paci, Osward Y. Carrasquillo, Steven Maczuga, Melissa Butt, Bradley Merritt, Mathew Helm, Galen T. Foulke
Summary: This study investigated the costs of Mohs surgery over time and found that the total cost per claim decreased while the patient's out-of-pocket expense increased from 2007 to 2019.
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY
(2023)
Article
Dermatology
Joshua D. Eikenberg, Savannah Taylor, Ellen Rachel Lockhart, Kyle Prickett, Mariana A. Phillips
Summary: This study found that dermatologists were fairly accurate at predicting postoperative pain, with their predictions correlated with patient-reported pain. When physicians overestimated pain, they were not more likely to prescribe opioids.
DERMATOLOGIC SURGERY
(2021)
Article
Dermatology
Edward W. Seger, Brett C. Neill, Soham Patel, Spyros M. Siscos, Thomas L. H. Hocker
Summary: Most patients undergoing Mohs surgery were willing to attempt home suture removal and were more willing, confident, and less anxious after viewing educational resources. Patients with previous suture removal experience were more likely to attempt removal after their procedure, and 97% of patients who were willing were successful. No major complications were reported.
DERMATOLOGIC SURGERY
(2022)
Article
Dermatology
C. Natterdahl, J. Kappelin, B. Persson, K. Lundqvist, I Ahnlide, K. Saleh, A. Ingvar
Summary: Older age, previous cryotherapy, and multiple prior surgeries were significantly associated with an increased risk of MMS requiring >= 3 stages. Recurrent BCC was associated with the risk of complicated MMS in partially adjusted multivariate analyses, but not in the fully adjusted analyses. Knowledge of these risk factors may help improve the planning of Mohs surgeries.
JOURNAL OF THE EUROPEAN ACADEMY OF DERMATOLOGY AND VENEREOLOGY
(2022)
Article
Dermatology
Allison M. Perz, Tess M. Lukowiak, Michael P. Lee, Donald Neal, Leora Aizman, Christopher J. Miller, Nicholas Golda, John G. Albertini, Todd Holmes, Anna Bar, Justin Leitenberger, Ian Maher, Joseph F. Sobanko, David Chen, Tyler Hollmig, Sumaira Aasi, Adam Sutton, H. William Higgins, Thuzar M. Shin, Christine Weinberger, Adam Mattox, Ashley Wysong, Jeremy R. Etzkorn
Summary: This multicenter, prospective cohort study found that most complications after interpolated flap repair for post-Mohs defects of the nose are minor and related to flap placement. It confirms the safety of performing this procedure in the outpatient setting under local anesthesia.
DERMATOLOGIC SURGERY
(2023)
Article
Dermatology
Eugen Stancut, Olivia G. Melvin, Russell L. Griffin, Carlton B. Phillips, Conway C. Huang
Summary: This study aimed to evaluate institutional adherence to appropriate use criteria for Mohs micrographic surgery (MMS) and found high adherence but also some instances of inappropriate treatment, primarily due to treating adjacent lesions in the same session.
DERMATOLOGIC SURGERY
(2022)
Article
Dermatology
Kathleen M. Nemer, James J. Ko, Eva A. Hurst
Summary: As the US population ages, safe surgical procedures are necessary for treatment of cutaneous neoplasms in very elderly patients. This study aimed to determine the incidence of complications associated with Mohs micrographic surgery (MMS) in patients aged 85 and older, and the risk factors that predispose to complications. Results showed that independent risk factors associated with a statistically higher incidence of complications were anticoagulant use, extremity location, greater than 2 MMS stages, and flap repair.
DERMATOLOGIC SURGERY
(2021)
Article
Dermatology
Jessica M. Donigan, Divya Srivastava, Ian Maher, Mark Abdelmalek, Anna A. Bar, Travis W. Blalock, Jeremy S. Bordeaux, David G. Brodland, Bryan T. Carroll, Martha Laurin Council, Keith Duffy, Ramin Fathi, Nicholas Golda, Hillary Johnson-Jahangir, Sailesh Konda, Justin J. Leitenberger, Molly Moye, Jenny L. Nelson, Vishal A. Patel, Joseph J. Shaffer, Razieh Soltani-Arabshahi, Payam Tristani-Firouzi, Amanda J. Tschetter, Rajiv I. Nijhawan
Summary: The study suggests that opioids should not be routinely prescribed to every patient undergoing Mohs micrographic surgery (MMS) and reconstruction, as this may help combat the opioid epidemic by reducing exposure to these drugs.
DERMATOLOGIC SURGERY
(2021)
Article
Surgery
Muhammad Harirah, Kyle Sanniec, Tyler Yates, Omar Harirah, James F. Thornton
Summary: Scalp reconstruction has evolved with time, presenting challenges particularly in cases of scalp cancers with large defects. More than 10 years of consecutive scalp reconstructions by the senior author provided data and recommendations for surgeons. Most defects were repaired using adjacent tissue transfer or Integra dermal regeneration templates, with some complications observed but scalp reconstruction was deemed safe for outpatient settings, even in elderly patients.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2021)
Article
Medicine, General & Internal
S. Caleb Freeman, Brett Neill, Christopher Garvey, Justin J. Leitenberger
Summary: The article presents a method for reconstructing large scalp defects using bilateral transposition flaps and split-thickness skin grafts. This technique allows for same-day repair, full defect coverage, and good functional outcomes.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2023)
Article
Dermatology
Kevin Brough, Sama K. Carley, Nahid Y. Vidal
Summary: This article describes a multidisciplinary approach for treating large EMPD tumors involving critical anatomy in the anogenital region, utilizing MMS for peripheral margin clearance and intraoperative CK7 immunostaining. Clinical pearls for the management of anogenital EMPD are based on 53 multidisciplinary cases treated at the author's institution between 2014 and 2020.
INTERNATIONAL JOURNAL OF DERMATOLOGY
(2022)
Review
Dermatology
Gabrielle Schwartzman, Alexander M. Cartron, Amor Khachemoune
Summary: Mohs micrographic surgery (MMS) is used to remove cutaneous tumors in cosmetically sensitive areas, with various reconstructive options available post-tumor removal such as primary closure and skin grafts. The use of second intention healing has decreased with advancements in surgical and reconstructive techniques. This review critically evaluates the indications, advantages, and complications of second intention wound healing post-Mohs surgery.
ARCHIVES OF DERMATOLOGICAL RESEARCH
(2022)
