Mohs - Basic technique

Considerations

• • Anatomy

  • Skin anatomy

  • Skin layers and cell types

  • Immunohistochemistry

  • 2008: Current progress of immunostains in Mohs micrographic surgery: a review

  • 2010: Immunostaining in Mohs micrographic surgery: a review

  • Indications

  • 1983: Mohs surgery. Technique, indications, applications, and the future

  • 1989: Indications and limitations of Mohs micrographic surgery

  • 2004: A primer of Mohs micrographic surgery: common indications

  • 2010: Who should have Mohs micrographic surgery?

  • 2012: American Academy of Dermatology - Appropriate use criteria

  • 2016: Indication guidelines for Mohs micrographic surgery in skin tumors

  • For basal cell carcinoma

  • 2004: Mohs' micrographic surgery for treatment of basal cell carcinoma of the face--results of a retrospective study and review of the literature

  • 2008: Surgical excision versus Mohs' micrographic surgery for primary and recurrent basal-cell carcinoma of the face: a prospective randomised controlled trial with 5-years' follow-up

  • For squamous cell carcinoma

  • 2010: Mohs surgery is effective for high-risk cutaneous squamous cell carcinoma

  • 2011: Mohs surgery for squamous cell carcinoma

  • For melanoma

  • 2002: Mohs micrographically controlled surgery and the treatment of malignant melanoma

  • 2005: Cutaneous head and neck melanoma treated with Mohs micrographic surgery

  • 2009: Mohs micrographic surgery for the treatment of malignant melanoma

  • In Otolaryngology-Head and Neck Surgery

  • 1990: Mohs' micrographic surgery of the head and neck

  • 2001: Mohs micrographic surgery for facial skin cancer

  • 2004: Mohs micrographic surgery and the otolaryngologist

  • Cost

  • 2006: Cost-effectiveness of Mohs Micrographic Surgery vs Surgical Excision for Basal Cell Carcinoma of the Face

  • 2009: Cost effectiveness of Mohs micrographic surgery: review of the literature

  • Delayed reconstruction

  • 2016: Complication Rates in Delayed Reconstruction of the Head and Neck After Mohs Micrographic Surgery

  • Immediate reconstruction

  • 2011: Simultaneous intraoperative Mohs clearance and reconstruction for advanced cutaneous malignancies

Preparation

Procedure

Sample operative report

Post-op

Pearls & Pitfalls

High-Yield

Links

• eMedicine - Mohs Surgery