Who should have Mohs micrographic surgery?

Abstract:

PURPOSE OF REVIEW:To review the indications for Mohs micrographic surgery in skin cancer particularly with relationship to tumours of the head and neck and any recent developments which may influence those indications in the near future. RECENT FINDINGS:There is increasing evidence to support the use of Mohs micrographic surgery in the treatment of recurrent and primary basal cell carcinoma and in squamous cell carcinoma, particularly when there is evidence of perineural invasion. Mohs micrographic surgery is particularly effective in the treatment of dermatofibosarcoma protuberans, especially in the high-risk head and neck area in which wide local excision may not be possible. Developments in freshly excised tissue imaging by confocal fluorescence microscopy and/or Raman spectroscopy may further refine the technique of Mohs micrographic surgery. Developments in immunohistochemistry with rapid staining of frozen sections may make Mohs micrographic surgery for lentigo maligna and melanoma in situ more feasible in the future, which would be an advantage in the head and neck. SUMMARY:The evidence base for the use of Mohs micrographic surgery for a wide range of cutaneous tumours is growing and the technique continues to develop. Close collaboration between Mohs micrographic surgeons, specialist surgical oncologists and reconstructive surgeons will provide the highest quality care for our patients with some of the most challenging cutaneous tumours.

authors

Perkins W

doi

10.1097/MOO.0b013e32833b6f19

subject

Has Abstract

pub_date

2010-08-01 00:00:00

pages

283-9

issue

4

eissn

1068-9508

issn

1531-6998

journal_volume

18

pub_type

杂志文章,评审
  • The use of fractional exhaled nitric oxide is valuable in select asthmatic patients.

    abstract:PURPOSE OF REVIEW:Clinical management of asthma is challenging and measuring fractional exhaled nitric oxide (FeNO) can be another tool to assist in meeting this challenge. RECENT FINDINGS:Asthma is a heterogeneous condition. There are many different phenotypes. FeNO can help the physician identify which patients have...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0000000000000247

    authors: Damask C

    更新日期:2016-06-01 00:00:00

  • Office-based laryngeal laser surgery with local anesthesia.

    abstract:PURPOSE OF REVIEW:Office-based laryngeal laser surgery was created recently and is emerging as a reliable and practical method of treating a number of laryngeal lesions. This style of minimally invasive surgery is becoming increasingly popular in the United States and abroad. RECENT FINDINGS:Fiber-based lasers and dis...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0b013e3281574582

    authors: Zeitels SM,Burns JA

    更新日期:2007-06-01 00:00:00

  • Pediatric nasal surgery: timing and technique.

    abstract:PURPOSE OF REVIEW:Timing of pediatric nasal surgery has always been a controversial topic. Concern over disrupting growing parts of the face and causing permanent facial deformity has led to a primarily conservative approach. Many surgeons feel that it is prudent to wait until the patient has completed nasal growth aft...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0000000000000378

    authors: Gary CC

    更新日期:2017-08-01 00:00:00

  • Advances in nasal dorsal augmentation with diced cartilage.

    abstract:PURPOSE OF REVIEW:The quest for the ideal method for augmenting the nasal dorsum continues to be a matter of debate, with alloplastic materials and autologous tissues each having distinct advantages. This review focuses on the use of autologous tissues, diced cartilage in particular. RECENT FINDINGS:In the western wor...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0b013e3283627600

    authors: Tasman AJ

    更新日期:2013-08-01 00:00:00

  • Big data in facial plastic and reconstructive surgery: from large databases to registries.

    abstract:PURPOSE OF REVIEW:There are many limitations to performing clinical research with high levels of evidence in facial plastic and reconstructive surgery (FPRS), such as randomization into surgical groups and sample size recruitment. Therefore, additional avenues for exploring research should be explored using big data, f...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0000000000000377

    authors: Smith AM,Chaiet SR

    更新日期:2017-08-01 00:00:00

  • Modern postoperative monitoring of free flaps.

    abstract:PURPOSE OF REVIEW:Flap failure in microvascular reconstruction is a costly complication with total flap loss being the worst-case scenario. With the aim to rapidly identify a postoperative circulatory problem, some susceptible flaps can be saved by careful clinical monitoring or by various technical monitoring methods....

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0000000000000467

    authors: Kääriäinen M,Halme E,Laranne J

    更新日期:2018-08-01 00:00:00

  • Reconstruction of the segmental mandibular defect: current state of the art.

    abstract:PURPOSE OF REVIEW:This article reviews literature pertaining to advances in the reconstruction of segmental mandibular defects in the context of an established standard of care, microvascular transfer of free osteocutaneous flaps. RECENT FINDINGS:Most literature reiterates established reconstructive techniques. Except...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0b013e328355d0f3

    authors: Hayden RE,Mullin DP,Patel AK

    更新日期:2012-08-01 00:00:00

  • Update on mandibular distraction osteogenesis.

    abstract:PURPOSE OF REVIEW:Mandibular distraction osteogenesis has become one of the most powerful reconstructive tools for addressing congenital lower jaw deformities. This review will focus on clinical and basic science contributions to the literature in the last year, which have shown innovations in mandibular distraction os...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0000000000000067

    authors: Earley M,Butts SC

    更新日期:2014-08-01 00:00:00

  • The role of steroid injection in the management of sinonasal polyps.

    abstract:PURPOSE OF REVIEW:To review treatment options for sinonasal polyps, focusing on the role of steroids and, specifically, intrapolyp steroid injection. History of steroid injections, comparison to other medical and surgical treatments, as well as the risks and safety of injections are all discussed. RECENT FINDINGS:A pa...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0b013e3282f1c7d0

    authors: Becker SS,Duncavage JA

    更新日期:2008-02-01 00:00:00

  • Sublingual immunotherapy for allergic rhinitis: an update.

    abstract:PURPOSE OF REVIEW:The inter-relationship between allergy and nasal diseases has long been known. Failure to address when allergy is a contributing factor diminishes the possibility of a successful surgical intervention. Sublingual immunotherapy is recommended by the World Health Organization to treat allergic rhinitis ...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章

    doi:10.1097/01.moo.0000193187.23063.ae

    authors: Burastero SE

    更新日期:2006-06-01 00:00:00

  • Significance of extracapsular lymph node metastases in patients with head and neck squamous cell carcinoma.

    abstract::The presence of cervical lymph node metastasis remains the most significant prognostic indicator of survival and disease recurrence in patients with squamous cell carcinoma of the head and neck. An approximately 50% reduction in 5-year survival rate is seen with the development of lymph node metastasis in patients wit...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/00020840-200304000-00010

    authors: Puri SK,Fan CY,Hanna E

    更新日期:2003-04-01 00:00:00

  • Laryngeal pacing for bilateral vocal fold immobility.

    abstract:PURPOSE OF REVIEW:This article reviews literature on the scientific background of functional electric stimulation of the immobile larynx, the status of animal pacing trials, and first clinical attempts to establish laryngeal pacing. RECENT FINDINGS:Impaired vocal fold motion is seen following recurrent laryngeal nerve...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0b013e32834cb7ba

    authors: Mueller AH

    更新日期:2011-12-01 00:00:00

  • Pearls and pitfalls: medico-legal considerations for sinus surgery.

    abstract:PURPOSE OF REVIEW:Patients being treated for chronic rhinosinusitis, whether via medical or surgical means, account for a significant percentage of all medical malpractice claims against otolaryngologists. In this study, we present suggestions to help otolaryngologists safeguard against unnecessary claims. RECENT FIND...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0000000000000024

    authors: Cottrill E,Becker SS,DeLaurentis D

    更新日期:2014-02-01 00:00:00

  • Skeletal volume enhancement: implants and osteotomies.

    abstract:PURPOSE OF REVIEW:Facial plastic surgeons are concerned with improving or restoring function and form. Most surgeons perform primarily soft tissue procedures, which alone are often sufficient. However, deficiencies in the underlying craniomaxillofacial skeleton must also be addressed. Facial skeletal augmentation remai...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/01.moo.0000130576.04818.55

    authors: Zim S

    更新日期:2004-08-01 00:00:00

  • Hypothyroidism in postradiation head and neck cancer patients: incidence, complications, and management.

    abstract:PURPOSE OF REVIEW:To describe the incidence, risk factors, prevention, and management of hypothyroidism among patients treated with radiation and other modalities for head and neck cancers. RECENT FINDINGS:Hypothyroidism may occur in up to 48% of patients treated for head and neck malignancies. It has been observed af...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/moo.0b013e328325a538

    authors: Miller MC,Agrawal A

    更新日期:2009-04-01 00:00:00

  • Eyelid rejuvenation: a marriage of old and new.

    abstract:PURPOSE OF REVIEW:Lower lid anatomy and the subtleties of this region have been studied extensively in the past. The variations that are found in the lower eyelid can lead to complications if the surgeon does not have a complete understanding. Lower lid blepharoplasty techniques have progressed over the past from simpl...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/01.moo.0000172804.10641.5f

    authors: Weiss DD,Carraway JH

    更新日期:2005-08-01 00:00:00

  • Current assessment of newborn hearing screening protocols.

    abstract:PURPOSE OF REVIEW:The objective of this article is to assess current newborn hearing screening protocols. We will focus on technologies or modalities used, protocol steps, training of screeners, timing of first screen, and loss to follow-up. A summary of program reports focusing on protocols from Greece, China, South A...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0000000000000389

    authors: Ricalde RR,Chiong CM,Labra PJP

    更新日期:2017-10-01 00:00:00

  • Nasal endoscopy and control of epistaxis.

    abstract:PURPOSE OF REVIEW:This review is designed to update the reader on the current state of nasal endoscopy in the control of epistaxis. Recent articles are reviewed and demonstrate recent developments and results. RECENT FINDINGS:The use of endoscopy for control of anterior and posterior epistaxis is beneficial, with less...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/00020840-200402000-00012

    authors: Stankiewicz JA

    更新日期:2004-02-01 00:00:00

  • Early detection of oral cancers: current status and future prospects.

    abstract:PURPOSE OF REVIEW:This article reviews the current literature and summarizes the latest developments in screening and early detection of oral cancers and looks at the future possibilities. RECENT FINDINGS:Oral cancer is the best model for screening and prevention. The screening for oral cancer can be population based,...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0000000000000237

    authors: Iyer S,Thankappan K,Balasubramanian D

    更新日期:2016-04-01 00:00:00

  • Diagnosis and management of laryngopharyngeal reflux disease.

    abstract:PURPOSE OF REVIEW:Laryngopharyngeal reflux should no longer be underestimated because of its negative impact on the lives of patients and its potentially dangerous long-term complications. RECENT FINDINGS:Both laryngopharyngeal reflux and gastroesophageal reflux disease are caused by mucosal injury from acid and pepsi...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/01.moo.0000193189.17225.91

    authors: Remacle M,Lawson G

    更新日期:2006-06-01 00:00:00

  • Laryngopharyngeal reflux: current concepts and questions.

    abstract:PURPOSE OF REVIEW:Laryngopharyngeal reflux is a widely recognized disorder. Yet, decades after its initial description, debate persists regarding pathophysiology, diagnosis, and treatment. This review addresses current literature on laryngopharyngeal reflux and identifies areas of controversy and future opportunities f...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0b013e32832b2581

    authors: Gupta R,Sataloff RT

    更新日期:2009-06-01 00:00:00

  • Endoscopic surgery for juvenile nasopharyngeal angiofibroma: where are the limits?

    abstract:PURPOSE OF REVIEW:This article will examine recent publications on the endoscopic management of juvenile nasopharyngeal angiofibromas. RECENT FINDINGS:The use of an endoscopic approach to resect small juvenile nasopharyngeal angiofibromas is supported by excellent results from a number of operative series published in...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/01.moo.0000188859.91607.65

    authors: Douglas R,Wormald PJ

    更新日期:2006-02-01 00:00:00

  • Targeted therapy in thyroid cancer.

    abstract:PURPOSE OF REVIEW:Recent advances in the understanding of the biological basis for thyroid cancer have identified molecular changes in thyroid cancer cells. These changes form the basis for targeted therapies, which have been investigated with some success in patients with advanced, inoperable thyroid cancers and are t...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0b013e32835aa2c2

    authors: Nixon IJ,Shaha AR,Tuttle MR

    更新日期:2013-04-01 00:00:00

  • Management of nasoethmoid fractures.

    abstract:PURPOSE OF REVIEW:The management of nasoethmoid or naso-orbito-ethmoid (NOE) fractures requires a thorough knowledge of the central facial anatomy, surgical techniques, available tools and patient factors to obtain optimal restoration of aesthetic form and function. This review article describes the current methods of ...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0b013e3283631936

    authors: Rosenberger E,Kriet JD,Humphrey C

    更新日期:2013-08-01 00:00:00

  • Management and reconstruction of blast wounds of the head and neck.

    abstract:PURPOSE OF REVIEW:The purpose of this review is to highlight recent literature related to the initial management and reconstruction of blast injuries to the head and neck. RECENT FINDINGS:An increasing percentage of combat-related injuries are caused by blast trauma. Management of blast trauma over the last 10 years h...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0000000000000285

    authors: Stevens JR,Brennan J

    更新日期:2016-10-01 00:00:00

  • Evaluation and management of pediatric obstructive sleep apnea beyond tonsillectomy and adenoidectomy.

    abstract:PURPOSE OF REVIEW:There is an increasing percentage of children with persistent obstructive sleep apnea (OSA) after removal of the tonsils and adenoids (T&A). Although sleep apnea has been an active area of research and treatment in the adult population, our awareness of this problem in children is still in its initial...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0b013e32834c1728

    authors: Shott SR

    更新日期:2011-12-01 00:00:00

  • Different branching patterns of the spinal accessory nerve: impact on neck dissection technique and postoperative shoulder function.

    abstract:PURPOSE OF REVIEW:Despite nerve-sparing surgery, postoperative shoulder morbidity remains high and significantly impacts patient's quality of life. This review will focus on recent findings of anatomical nuances of the cranial nerve XI (CN XI) along its course in the neck and possible reasons for postoperative morbidit...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0000000000000342

    authors: Lanišnik B

    更新日期:2017-04-01 00:00:00

  • The submental island flap in head and neck reconstruction.

    abstract:PURPOSE OF REVIEW:This article reviews the submental island flap, focusing on its relevant surgical anatomy, surgical technique, and recent applications in head and neck reconstruction. RECENT FINDINGS:Reconstruction of defects after extirpation of head and neck neoplasms is a highly challenging and complex surgical u...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0b013e32832cee83

    authors: Parmar PS,Goldstein DP

    更新日期:2009-08-01 00:00:00

  • Contemporary management of orbital blowout fractures.

    abstract:PURPOSE OF REVIEW:Orbital floor blowout fractures may lead to significant morbidity, including debilitating double vision and globe malposition. Thorough evaluation and timely surgical intervention may prevent long-term sequelae. RECENT FINDINGS:New studies have demonstrated certain patients with orbital floor fractur...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0000000000000550

    authors: Homer N,Huggins A,Durairaj VD

    更新日期:2019-08-01 00:00:00

  • How does sinus surgery affect topical irrigation distribution?

    abstract:PURPOSE OF REVIEW:The current article reviews the literature on the distribution of nasal irrigation in the treatment of chronic sinusitis, especially in how sinus surgery and irrigation techniques affect its delivery to the nasal cavity and paranasal sinuses. RECENT FINDINGS:Nasal irrigation has become a useful tool ...

    journal_title:Current opinion in otolaryngology & head and neck surgery

    pub_type: 杂志文章,评审

    doi:10.1097/MOO.0000000000000429

    authors: de Paiva Leite SH,Douglas RG

    更新日期:2018-02-01 00:00:00