Citations 2
Systematic Review of Technical Variations for Mohs Micrographic Surgery for Melanoma
Krausz, Aimee E. , Higgins, H. William , Sobanko, Joseph F. , Giordano, Cerrene N., McMurray, Stacy L., Golda, Nicholas, Leitenberger, Justin J. , Bar, Anna, Nijhawan, Rajiv I. , Brewer, Jerry D., Baum, Christian L. , Holmes, Todd, Goldman, Glenn D., Bordeaux, Jeremy S. , Carroll, Bryan T. , MacArthur, Kelly M. , Etzkorn, Jeremy R. , Shin, Thuzar M. , Maher, Ian A. , Srivastava, Divya , Miller, Christopher J.
Dermatologic Surgery | November 7, 2021 | Volume: 47 | Issue: 12 | Pages: 1539-1544
BACKGROUND Mohs micrographic surgery (MMS) for cutaneous melanoma is becoming more prevalent, but surgical technique varies. OBJECTIVE To define variations in published techniques for MMS for melanoma. METHODS AND MATERIALS A systematic review was performed of PubMed, EMBASE, and Scopus databases to identify all articles describing surgical techniques for MMS for melanoma. Technical details were recorded for the preoperative, intraoperative, and postoperative phases of MMS. RESULTS Twenty-four articles were included. Mohs surgeons vary in how they assess clinical margins, how wide a margin they excise on the first MMS layer, and how they process tissue to determine tumor stage and margin clearance during MMS for melanoma. CONCLUSION Mohs micrographic surgery for melanoma is performed with varied surgical techniques. To establish best practices, additional research is necessary to determine how different techniques affect outcomes.
Expertise in Head and Neck Cutaneous Reconstructive Surgery
Deng, Min , Higgins, H. William , Lesiak, Kendra, Decker, Ashley B., Regula, Christie G., Stevenson, Mary L. , Raphael, Brian A., DePry, Jennifer L., Scott, Jeffrey F. , Bangash, H. , Ochoa, Shari A. , Ibrahimi, Omar A. , Shafai, Aria, Bordeaux, Jeremy S. , Carucci, John A. , Cook, Jonathan L. , Goldman, Glenn D., Rohrer, Thomas E. , Lawrence, Naomi, Deng, Min, Decker, Ashley
Dermatologic Surgery | March 13, 2019 | Volume: 45 | Issue: 6 | Pages: 782-790
BACKGROUND The management of skin cancers has evolved with the development of Mohs micrographic surgery and a greater emphasis on surgical training within dermatology. It is unclear whether these changes have translated into innovations and contributions to the reconstructive literature. OBJECTIVE To assess contributions from each medical specialty to the cutaneous head and neck oncologic reconstructive literature. METHODS The authors conducted a systematic review of the head and neck reconstructive literature from 2000 through 2015 based on a priori search terms relating to suture technique, linear closure, advancement, rotation, transposition and interpolation flaps, and identified the specialty of the senior authors. RESULTS The authors identified 74,871 articles, of which 1,319 were relevant. Under suture technique articles, the senior authors were primarily dermatologists (58.2%) and plastic surgeons (20.3%). Under linear closure, the authors were dermatologists (48.1%), plastic surgeons (22.2%), and otolaryngologists (20.4%). Under advancement and rotation flaps, the senior authors were plastic surgeons (40.5%, 38.9%), dermatologists (38.1%, 34.2%), and otolaryngologists (14.4%, 21.6%). Under transposition and interpolation flaps, the senior authors were plastic surgeons (47.3%, 39.4%), dermatologists (32.3%, 27.0%), and otolaryngologists (15.3%, 23.4%). CONCLUSION The primary specialties contributing to the cutaneous head and neck reconstructive literature are plastic surgery, dermatology, and otolaryngology.